CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Adventist Health Reedley

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$831

about 0.9× the $877 Medicare rate · typically $395–$1,154

modeled estimate · not a bill or quote

What this hospital charges insurers

$348

Below the fair price — a good deal

about $483 under the fair price · 0.4× Medicare

Medicare pays $877 Fair price $831 This hospital $348 Cash price $649 Hospital's list price $3,417

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 1 charge more and 5 charge less, among the 9 CA hospitals compared.

Cheapest $196 Priciest $355

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $831 (about 0.9× the $877 Medicare rate). Adventist Health Reedley charges insurers about $348, or about $649 in cash — below the fair price — a good deal. Located in Reedley, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$123 - $9,663	14%
Blue Cross Blue Shieldmajor	$123 - $3,548	14%
Aetnamajor	$629 - $2,998	72%
Cignamajor	$140 - $4,504	16%
Kaiser Permanentemajor	$144 - $3,465	16%
Bright Health	$1,734	198%
Health Net	$125 - $3,015	14%
+ 17 smaller / regional plans	$123 - $5,544

Government programs also on file: Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 649), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Reedley is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Reedley

Compare: Sleep study (overnight, in lab) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.