CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Adventist Health Hanford

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,104
  • Cash Discount Price: $988
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Adventist Health Hanford is $1,104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $988. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.26x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$988

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,104

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: $988 (113%)
Insurance Median: $1,104 (126%)
Cash: $988 (113% of Medicare)
Ins. Median: $1,104 (126% 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.

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
Upn Mcal Profee $72 8%
Key Medical Group Commercial - All Other Plans $75 9%
Key Medical Mcr Adv $75 9%
Blue Shield Mcr Adv $123 - $1,104 14%
Fhcn Pace Mcr Adv-All Plans $123 - $1,104 14%
Prime Health Mcr Adv- All Plans $123 - $1,104 14%
Tricare $123 - $1,104 14%
UnitedHealthcare $123 - $9,418 14%
Central Valley Med Prov Profee Only-All Plans $129 15%
Ah Employee Health Plan - All Plans $135 - $1,988 15%
Cigna $140 - $4,116 16%
Blue Shield Epn $146 - $3,257 17%
Blue Shield Non-Epn - All Other Plans $154 - $3,569 18%
Kaiser - All Other Plans $165 - $3,465 19%
Kaiser Mcr Adv $165 - $1,104 19%
Western Growers/Pinnacle- All Plans $170 - $3,257 19%
Healthnet - All Other Plans $179 - $3,701 20%
Blue Cross Blue Shield $284 - $2,262 32%
Bc Mcal $287 - $297 33%
Healthnet Mcal $287 - $654 33%
Kaiser Mcal $287 - $499 33%
Medi-Cal $287 - $499 33%
Universal Hc Mcal Profee $287 33%
Valley Childrens - All Plans $287 - $839 33%
Aetna $629 - $3,084 72%
Fresno - All Plans $824 94%
Healthnet Mcr Adv $1,104 126%
Universal Hc Mcr Adv Profee - All Other Plans $1,104 126%
Upn Mcr Adv Profee - All Other Plans $1,104 126%
Bright Health Mcr Adv-All Plans $1,734 198%
Phcs Ppo- All Plans $3,379 - $4,504 385%
Community Hlth Ntwork-All Plans $3,483 - $4,643 397%
First Health - All Plans $4,054 - $5,405 462%
Choicecare- All Plans $4,262 - $5,683 486%
Multiplan- All Plans $4,314 - $5,752 492%
Interplan- All Plans $4,366 - $5,821 498%
Beech Street- All Plans $4,418 - $5,890 504%
Preferred Health Network- All Plans $4,938 - $6,584 563%
Pacific Health Alliance- All Plans $5,042 - $6,722 575%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals