CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: San Luis Valley Regional Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,061
Cash Discount Price: $1,861
vs. Medicare Baseline: 3.49x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at San Luis Valley Regional Medical Center is $3,061. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,861. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.49x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.

Cash / Self-Pay

$1,861

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,061

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: $1,861 (212%)

Insurance Median: $3,061 (349%)

Cash: $1,861 (212% of Medicare)

Ins. Median: $3,061 (349% 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 349% of the Medicare baseline (a markup of 249%). 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
Rocky Mountain	$587 - $3,367	67%
Kaiser	$906 - $3,367	103%
Tricare	$906 - $1,022	103%
Triwest	$906	103%
Aetna	$928 - $3,101	106%
Presbyterian Health Plan	$2,038	232%
Co Choice Healthplan - Lutheran Hosp Assoc	$2,191 - $2,410	250%
Hmo Health Plans	$2,255 - $2,481	257%
UnitedHealthcare	$2,829 - $3,260	322%
Blue Cross Blue Shield	$2,835 - $3,119	323%
Galaxy Health Network	$2,835 - $3,119	323%
Multiplan	$2,835 - $3,190	323%
Humana	$2,900 - $3,190	331%
Pinnacol Assurance	$2,996 - $3,296	341%
Colorado Access	$3,045 - $3,349	347%
Cigna	$3,061 - $3,367	349%
Foundation Health Corp	$3,061 - $3,367	349%
Uc Health Plan	$3,061 - $3,367	349%
Uchpa Phs	$3,061 - $3,367	349%

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 $1,861.
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 San Luis Valley Regional 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.