CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Banner - University Medical Center Tucson Campus

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,958
  • Cash Discount Price: $2,401
  • vs. Medicare Baseline: 2.23x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Banner - University Medical Center Tucson Campus is $1,958. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,401. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.23x the Medicare baseline. Located in 1625 North Campbell Avenue, Tucson, AZ.
Cash / Self-Pay
$2,401

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,958

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)
Cash / Self-Pay: $2,401 (274%)
Insurance Median: $1,958 (223%)
Cash: $2,401 (274% of Medicare)
Ins. Median: $1,958 (223% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $877.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 223% of the Medicare baseline (a markup of 123%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $566 - $1,518 65%
Arizona Physicians Ipa $667 - $1,084 76%
Banner University Health Plan $667 - $1,084 76%
Health Choice Arizona, Inc. $667 - $3,060 76%
Health Net $667 - $3,304 76%
Mercy Care $667 - $1,084 76%
Aetna $685 - $3,225 78%
Banner Health $1,084 124%
Blue Cross Blue Shield $1,084 - $3,999 124%
Care 1St $1,084 124%
Cigna $1,084 - $3,763 124%
Gila River Health Care Corporation $1,084 124%
Humana $1,084 - $1,117 124%
Kaiser Foundation Health Plan $1,084 124%
Triwest Healthcare Alliance Corp - Va Ccn $1,084 124%
Upmc Health Plan $1,084 124%
Wellpoint $1,084 124%
Carelon $1,139 130%
Devoted Health Services $1,139 130%
Arizona Priority Care $1,193 - $2,448 136%
Gold Kidney Health Plan $1,193 136%
Naphcare $1,464 167%
University Of Arizona (Kasser Medical Treatment Center) $1,713 - $2,142 195%
Oscar Health Plan $1,789 - $3,060 204%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $2,203 - $2,754 251%
Plotkin Health $2,203 - $2,754 251%
Quiktrip Corporation $2,643 - $3,304 301%
Provider Network Of America $3,671 - $4,589 418%
Arizona Medical Network $3,916 - $4,895 446%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 North Campbell Avenue, Tucson, AZ 85719
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals