CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Whittier Hospital Medical Center
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $1,200
- Cash Discount Price: $816
- vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Whittier Hospital Medical Center is $1,200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $816. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.37x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$816
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,200
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: $816 (93%)
Insurance Median: $1,200 (137%)
Cash: $816 (93% of Medicare)
Ins. Median: $1,200 (137% 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 Cross Blue Shield | $242 - $3,020 | 28% |
| Capnet | $242 | 28% |
| Ahmc Medi-Cal Reciprocity Agreement | $348 | 40% |
| Aids Healthcare Foundation | $348 - $1,087 | 40% |
| Allied Physicians | $348 - $1,657 | 40% |
| Alta Med Health Network | $348 - $1,087 | 40% |
| Altamed Health Services Corporation | $348 | 40% |
| Beverly Hospital | $348 - $1,215 | 40% |
| Brand New Day | $348 - $1,359 | 40% |
| Emanate Health | $348 - $1,357 | 40% |
| Health Net | $348 - $2,765 | 40% |
| Healthy Way La | $348 | 40% |
| Heritage Provider Network | $348 - $1,491 | 40% |
| Kaiser Foundation | $348 - $4,229 | 40% |
| La Care Healthy Families/Healthy Kids | $348 | 40% |
| Non Contracted Medi-Cal | $348 | 40% |
| Prospect Health Plan | $348 - $1,767 | 40% |
| Synermed | $348 - $1,104 | 40% |
| La Care Health Plan | $400 - $3,323 | 46% |
| Caloptima | $487 - $1,087 | 56% |
| Monarch Healthplan | $487 | 56% |
| Avanti | $499 - $1,325 | 57% |
| Care First Health Plan | $499 | 57% |
| County Of Los Angeles Dept Of Health Services | $499 | 57% |
| Hollywood Presbyterian Adv Med Mcal | $499 | 57% |
| Hollywood Presbyterian Medpoint Mcal | $499 | 57% |
| Medi Caid/ Medi Cal | $499 | 57% |
| Pacific Independent Physician Association | $499 - $1,812 | 57% |
| Physician Healthways | $604 | 69% |
| Physicians Healthways Medical Corporation | $750 | 85% |
| Veterans Administration | $773 | 88% |
| Applecare Medical Group | $784 | 89% |
| Aetna | $849 - $2,640 | 97% |
| UnitedHealthcare | $961 - $2,900 | 110% |
| Alta Los Angeles Hospitals Inc | $1,087 | 124% |
| Apa/Aco Inc | $1,087 | 124% |
| Central Health Plan | $1,087 | 124% |
| Easy Choice Health Plan | $1,087 | 124% |
| Humana | $1,087 | 124% |
| Medicare (plans) | $1,087 - $1,141 | 124% |
| Pacificare Of California | $1,087 | 124% |
| Scan Health Plan | $1,087 | 124% |
| Allied Physicians Ipa | $1,100 | 125% |
| Blue Shield Of California | $1,104 - $6,553 | 126% |
| Caremore | $1,104 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $1,104 | 126% |
| La Care Covered Direct | $1,104 | 126% |
| Pacific Alliance Medical Center | $1,104 | 126% |
| Private Pay | $1,104 | 126% |
| Self-Pay | $1,104 | 126% |
| Tricare | $1,104 | 126% |
| Alignment Health Plan | $1,141 | 130% |
| Molina Healthcare Of California | $1,141 | 130% |
| Central Health Plan Of California | $1,200 | 137% |
| San Miguel Health Plan | $1,215 | 138% |
| Athens Administrators Ahmc Work Comp | $1,260 | 144% |
| Fmc Los Angeles County | $1,260 - $4,531 | 144% |
| Interplan Health Group | $1,260 | 144% |
| Misc 1 | $1,260 | 144% |
| Multiplan Wc | $1,260 | 144% |
| Chinatown Service Center Pace | $1,325 | 151% |
| Molina Medical Center | $1,350 - $1,381 | 154% |
| Ahmc Health | $1,381 | 157% |
| Knox-Keene Act | $1,381 | 157% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,500 | 171% |
| Prospect Medical | $1,500 | 171% |
| Value Healthplan Of California | $1,600 | 182% |
| Ahmc Reciprocity | $1,812 | 207% |
| Wear And Wood | $1,812 - $2,416 | 207% |
| Care 1St Health Plan | $2,100 - $3,625 | 239% |
| Edward Medical Group | $2,114 | 241% |
| Health Net Inc | $2,300 - $2,837 | 262% |
| Great-West Healthcare Of California | $2,500 | 285% |
| Prohealth | $2,500 | 285% |
| Cigna | $3,020 | 344% |
| Healthnet | $3,315 - $3,954 | 378% |
| Coventry Health Care | $3,500 | 399% |
| Coventry Health Care National Network | $3,500 | 399% |
| New Horizon Medical Group Inc | $3,625 | 413% |
| Cost Containment | $3,927 | 448% |
| Davita Healthcare Partners | $3,927 | 448% |
| Universal Care | $3,927 - $4,229 | 448% |
| Asi/Flex | $4,229 | 482% |
| Us Comp Care | $4,229 | 482% |
| Community Care Network | $4,531 | 516% |
| Interplan Corporation | $4,531 | 516% |
| Managed Care Administrators | $4,531 | 516% |
| Multiplan | $5,135 | 585% |
| Commercial Non Contract | $6,041 | 689% |
| Medi-Cal Sub Acute | $6,041 | 689% |
| One Legacy | $6,041 | 689% |