CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Northwest Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,016

about 1.2× the $877 Medicare rate · typically $797–$1,415

modeled estimate · not a bill or quote

What this hospital charges insurers

$947

About the fair price

about $69 under the fair price · 1.1× Medicare

Medicare pays $877 Fair price $1,016 This hospital $947 Cash price $2,275 Hospital's list price $7,582

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $246 Priciest $947

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $1,016 (about 1.2× the $877 Medicare rate). Northwest Medical Center charges insurers about $947, or about $2,275 in cash — about the fair price. Located in Tucson, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$902 - $3,791	103%
Blue Cross Blue Shieldmajor	$916 - $3,881	104%
Aetnamajor	$576 - $4,549	66%
Cignamajor	$902 - $2,275	103%
Humanamajor	$902	103%
Ambetter (Centene)	$1,292	147%
Banner Health	$947	108%
Clover Health	$926	106%
Devoted Health	$929	106%
Health Net	$1,452	166%
WellCare	$947	108%
+ 11 smaller / regional plans	$693 - $2,108

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,275), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Northwest Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Northwest Medical Center

Compare: Sleep study (overnight, in lab) at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.