CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Banner Lassen Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $574
Cash Discount Price: $1,526
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Banner Lassen Medical Center is $574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,526. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.65x the Medicare baseline. Located in 1800 Spring Ridge Drive, Susanville, CA.

Cash / Self-Pay

$1,526

Average discount available for prompt cash payment at this facility.

Insurance Median

$574

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: $1,526 (174%)

Insurance Median: $574 (65%)

Cash: $1,526 (174% of Medicare)

Ins. Median: $574 (65% 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
Banner Health	$153 - $2,007	17%
Blue Cross Blue Shield	$153 - $2,007	17%
UnitedHealthcare	$153 - $4,552	17%
Network Providers, Llc	$199 - $2,609	23%
Imperial Health Plan Of California, Inc	$207 - $2,709	24%
Blue Shield Of California	$325 - $4,259	37%
Multiplan	$337 - $4,406	38%
Cigna	$355 - $4,650	40%
Coventry	$359 - $4,699	41%
First Health	$359 - $4,699	41%
Health Net	$363 - $4,748	41%
Partnership Healthplan Of Ca	$574	65%

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 $1,526.
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 Banner Lassen Medical Center 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.