CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Adventist Health White Memorial
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $301
- Cash Discount Price: $826
- vs. Medicare Baseline: 0.34x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Adventist Health White Memorial is $301. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $826. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.34x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$826
Average discount available for prompt cash payment at this facility.
Insurance Median
$301
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: $826 (94%)
Insurance Median: $301 (34%)
Cash: $826 (94% of Medicare)
Ins. Median: $301 (34% 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
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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 Shield Epn | $72 - $2,112 | 8% |
| Blue Shield - All Other Plans | $83 - $2,458 | 9% |
| Blue Shield Mcr Adv | $85 - $105 | 10% |
| Prospect Mg Com/Pos Profee Only-All Other Plan | $90 | 10% |
| Prospect Mg Mcal Profee Only | $90 | 10% |
| Prospect Mg Mcr Adv Profee Only | $90 | 10% |
| Access Group | $109 - $939 | 12% |
| Lasalle Mg Commercial - All Other Plans | $109 - $939 | 12% |
| Pacific Ipa - All Other Plans | $114 - $3,372 | 13% |
| Kaiser- All Plans | $123 - $3,638 | 14% |
| Cigna | $127 - $3,754 | 14% |
| Access Senior - All Other Plans | $128 - $1,104 | 15% |
| Ahp - All Other Plans | $128 - $939 | 15% |
| Ahp Senior | $128 - $1,104 | 15% |
| Altamed Connect | $128 - $1,104 | 15% |
| Avanti Mcr Adv - All Other Plans | $128 - $1,104 | 15% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $128 - $1,600 | 15% |
| Blue Cross Blue Shield | $128 - $2,207 | 15% |
| Brand New Day Mcare - All Plans | $128 - $1,104 | 15% |
| Bs Va Mcare | $128 - $1,104 | 15% |
| Care First Mcare - All Other Plans | $128 - $1,104 | 15% |
| Caremore Mcare - All Plans | $128 - $2,381 | 15% |
| Clever Care - All Plans | $128 - $1,104 | 15% |
| El Proyecto Comm Profee Only - All Other Plans | $128 | 15% |
| El Proyecto Mcr Profee Only | $128 | 15% |
| Fcs Ipa Mcr Advan Op/Profee Only | $128 - $1,104 | 15% |
| Global Care Comm Profee Only - All Other Plans | $128 | 15% |
| Global Care Mcr Profee Only | $128 | 15% |
| Hcla Comm Profee Only - All Other Plans | $128 | 15% |
| Hcla Mcr Profee Only | $128 | 15% |
| Humana | $128 - $1,104 | 15% |
| La Care Mcr Adv - All Plans | $128 - $2,000 | 15% |
| Lasalle Mg Senior | $128 - $1,104 | 15% |
| Medicare (plans) | $128 - $1,104 | 15% |
| Pacific Alliance Mcare - All Other Plans | $128 - $1,104 | 15% |
| Preferred Senior | $128 - $1,104 | 15% |
| Scan Health Mcare - All Plans | $128 - $2,500 | 15% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $128 - $1,104 | 15% |
| Tricare | $128 - $1,104 | 15% |
| UnitedHealthcare | $128 - $5,964 | 15% |
| Fcs Ipa Op/Profee Only - All Other Plans | $134 - $1,160 | 15% |
| Healthnet - All Other Plans | $136 - $4,013 | 16% |
| Healthnet Comm Care | $140 - $4,140 | 16% |
| Ah Employee Health Plan - All Plans | $141 - $1,988 | 16% |
| Aetna | $146 - $4,313 | 17% |
| Molina Benefit Exchange - All Other Plans | $147 - $1,491 | 17% |
| Molina Mcare | $147 - $1,104 | 17% |
| Hcpamg - All Plans | $151 - $3,773 | 17% |
| Preferred Commercial - All Other Plans | $154 - $1,325 | 18% |
| Healthcare Inc - All Other Plans | $166 - $3,245 | 19% |
| Intergrated Medical - All Plans | $166 - $1,436 | 19% |
| Western Growers/Pinnacle - All Plans | $169 - $4,969 | 19% |
| First Heatlh Ppo - All Plans | $175 - $5,147 | 20% |
| Centivo - All Plans | $192 - $2,485 | 22% |
| Healthnet Mcr Adv | $196 - $13,577 | 22% |
| Phcs Ppo - All Plans | $196 - $5,768 | 22% |
| Ahf - All Plans | $226 - $6,656 | 26% |
| Beech Street - All Plans | $226 - $6,656 | 26% |
| Interplan Ppo - All Plans | $226 - $6,656 | 26% |
| Corvel Corp - All Plans | $241 - $7,099 | 27% |
| Multiplan Ppo - All Plans | $250 - $7,365 | 28% |
| Healthmannet - All Plans | $256 - $7,543 | 29% |
| Next Inc Ppo - All Plans | $256 - $7,543 | 29% |
| Trpn - All Plans | $256 - $7,543 | 29% |
| Fpn Ppo - All Plans | $271 - $7,987 | 31% |
| Bc Medi-Cal | $292 - $301 | 33% |
| Access Medi-Cal | $301 - $499 | 34% |
| Ahp Medi-Cal | $301 - $499 | 34% |
| Alta Los Angeles Mcal 1/1/19 | $301 - $499 | 34% |
| Altamed Medi-Cal - All Other Plans | $301 - $574 | 34% |
| Assoc Hispanic Physcns Mcal | $301 - $699 | 34% |
| Avanti Mcal | $301 - $499 | 34% |
| Bella Vista Medi-Cal Op/Profee Only | $301 - $499 | 34% |
| Blue Shield Medi-Cal | $301 - $1,248 | 34% |
| Care First Medi-Cal | $301 - $1,747 | 34% |
| El Proyecto Mcal Profee Only | $301 | 34% |
| Fcs Ipa Medi-Cal Op/Profee Only | $301 - $599 | 34% |
| Global Care Mcal Profee Only | $301 | 34% |
| Hcla Mcal Profee Only | $301 | 34% |
| Healthcare Inc Medi-Cal | $301 - $499 | 34% |
| Healthnet Mcal | $301 - $595 | 34% |
| Lasalle Mg Medi-Cal | $301 - $499 | 34% |
| Medi-Cal | $301 - $499 | 34% |
| Molina Medi-Cal | $301 - $499 | 34% |
| Pacific Alliance Medi-Cal | $301 - $499 | 34% |
| Pacific Ipa Medi-Cal | $301 - $499 | 34% |
| Preferred Healthy | $301 - $624 | 34% |
| Preferred Ipa La Care Mcal Cap | $301 - $499 | 34% |
| Preferred Medi-Cal | $301 - $499 | 34% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $1,104 | 126% |
| Bright Health - All Plans | $1,270 | 145% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $1,325 | 151% |
| Php-Prospect Health Plan Cap - All Plans | $1,657 | 189% |