CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,690
Cash Discount Price: $5,535
vs. Medicare Baseline: 4.21x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Sharp Coronado Hospital and Hlthcr Ctr is $3,690. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,535. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.21x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$5,535

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,690

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: $5,535 (631%)

Insurance Median: $3,690 (421%)

Cash: $5,535 (631% of Medicare)

Ins. Median: $3,690 (421% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 421% of the Medicare baseline (a markup of 321%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$1,005 - $5,166	115%
Medicare (plans)	$1,005 - $3,690	115%
Health Net	$2,066 - $4,170	235%
UnitedHealthcare	$2,192 - $5,166	250%
Blue Shield	$2,509 - $5,166	286%
Cigna	$2,875 - $2,952	328%
Aetna	$3,542 - $5,535	404%
Community Health Group	$3,542 - $5,904	404%
Interplan	$3,542	404%
Multiplan	$3,690 - $4,686	421%
Indian Health Council	$4,502	513%
Humana	$5,018	572%
Managed Health Network	$5,018	572%
Molina	$5,018	572%
San Diego Pace	$5,904	673%
California Health And Wellness	$6,642	757%

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 $5,535.
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 Sharp Coronado Hospital and Hlthcr Ctr 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.