CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Oak Valley Hospital District

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,187
Cash Discount Price: $1,484
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Oak Valley Hospital District is $1,187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,484. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.35x the Medicare baseline. Located in 350 S Oak Ave, Oakdale, CA.

Cash / Self-Pay

$1,484

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,187

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: $1,484 (169%)

Insurance Median: $1,187 (135%)

Cash: $1,484 (169% of Medicare)

Ins. Median: $1,187 (135% 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.

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
Blue Cross Blue Shield	$499 - $1,780	57%
Healthnet Medi-Cal Ip/Op Only	$499	57%
Kaiser Medi-Cal Ip/Op Only	$499	57%
Medi-Cal Ip/Op Only	$499	57%
Hp Of San Joaquin Ip/Op Only-All Plans	$599	68%
Blue Shield Epn Ip/Op Only	$1,070	122%
Alignment Op Only Ip/Op Only-All Plans	$1,104	126%
Humana	$1,104	126%
Kaiser Mcr Adv Ip/Op Only	$1,104	126%
Scan Health Plan Ip/Op Only-All Plans	$1,127	128%
Healthnet Comm Op Only Ip/Op Only-All Other Plans	$1,167	133%
UnitedHealthcare	$1,187	135%
Imperial Health Ip/Op Only-All Plans	$1,215	138%
Kaiser Comm Ip/Op Only-All Other Plans	$1,226	140%
Cigna	$1,325	151%
Aetna	$1,683	192%
Blue Shield/Bcout Ip/Op Only-All Other Plans	$1,780	203%

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 $1,484.
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 Oak Valley Hospital District 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.