CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Oroville Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,607
Cash Discount Price: $2,255
vs. Medicare Baseline: 4.11x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Oroville Hospital is $3,607. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,255. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.11x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$2,255

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,607

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: $2,255 (257%)

Insurance Median: $3,607 (411%)

Cash: $2,255 (257% of Medicare)

Ins. Median: $3,607 (411% 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 411% of the Medicare baseline (a markup of 311%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$996	114%
Community Care	$996	114%
Nivano Physicians Inc	$996	114%
UnitedHealthcare	$996 - $3,833	114%
River City Medical Group	$1,096	125%
Blue Cross Blue Shield	$1,217 - $4,960	139%
Blue Shield Value Network	$1,509	172%
Butte County	$1,570	179%
Partnership Healthplan Of California	$1,644	187%
Cigna	$3,607	411%
Coventry Health Care	$3,607	411%
Health Net	$3,607	411%
Multiplan	$3,607	411%
Interplan	$3,833	437%
Three Rivers Provider Network	$3,833	437%
Beech Street	$4,058	463%
Healthstar	$4,058	463%
Health Payors Organization	$4,284	488%
Blue Shield Of California	$4,374	499%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,255.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 95810.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Oroville Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 95810.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.