CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Parkview Community Hospital Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,065
Cash Discount Price: $1,600
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Parkview Community Hospital Medical Center is $1,065. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,600. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.21x the Medicare baseline. Located in 3865 Jackson Street, Riverside, CA.

Cash / Self-Pay

$1,600

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,065

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: $1,600 (182%)

Insurance Median: $1,065 (121%)

Cash: $1,600 (182% of Medicare)

Ins. Median: $1,065 (121% 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
UnitedHealthcare	$360 - $576	41%
Ahmc	$480	55%
Blue Cross Blue Shield	$499 - $2,181	57%
Blue Shield	$499 - $4,680	57%
Health Net	$499 - $1,565	57%
Medi-Cal	$499	57%
Molina Medi-Cal	$499	57%
Regal	$599 - $800	68%
Iehp	$884 - $1,413	101%
Aetna	$888 - $1,104	101%
Central Health Plan	$979	112%
Humana	$1,065	121%
Alignment	$1,087	124%
Medicare (plans)	$1,087	124%
Cigna	$1,088	124%
Champus	$1,104	126%
Molina Covered Ca	$1,104	126%
Molina Senior	$1,104	126%
Scan	$1,104	126%
Self Pay	$1,600	182%
Blue Shield Ppo	$4,680	533%

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 $1,600.
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 Parkview Community Hospital Medical Center 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.