CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Adventist Health Tehachapi Valley

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $151
Cash Discount Price: $260
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Adventist Health Tehachapi Valley is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $260. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.17x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$260

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $260 (30%)

Insurance Median: $151 (17%)

Cash: $260 (30% of Medicare)

Ins. Median: $151 (17% 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.

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
Healthnet Mcare	$123	14%
Tricare	$123	14%
UnitedHealthcare	$123 - $784	14%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$123	14%
Aetna	$130	15%
Network Providers- All Plans	$134	15%
Ah Employee Health Plan - All Plans	$135	15%
Cigna	$140	16%
Oscar Health Plan- All Plans	$141	16%
Blue Shield Epn- All Other Plans	$146	17%
Coventry- All Plans	$148	17%
Blue Shield Non-Epn	$154	18%
Western Grwrs/Pinnacle - All Plans	$171	19%
Healthnet- All Other Plans	$179	20%
Centivo - All Plans	$184	21%
Medi-Cal	$287 - $348	33%
Universal Ipa Mcal Op/Profee Only	$287 - $348	33%
Blue Cross Blue Shield	$301	34%

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 $260.
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 Adventist Health Tehachapi Valley 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.