CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Uch-Memorial Health System

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,580
Cash Discount Price: $2,980
vs. Medicare Baseline: 2.94x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Uch-Memorial Health System is $2,580. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,980. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.94x the Medicare baseline. Located in 1400 E Boulder St, Colorado Springs, CO.

Cash / Self-Pay

$2,980

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,580

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: $2,980 (340%)

Insurance Median: $2,580 (294%)

Cash: $2,980 (340% of Medicare)

Ins. Median: $2,580 (294% 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 294% of the Medicare baseline (a markup of 194%). 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
UnitedHealthcare	$413 - $1,022	47%
Blue Cross Blue Shield	$619 - $4,535	71%
Aetna	$1,022 - $3,480	116%
Cigna	$1,022 - $3,358	116%
Cms	$1,022	116%
Devoted Health	$1,022	116%
Humana	$1,022	116%
Kaiser	$1,022 - $2,297	116%
Select Health	$1,022 - $1,542	116%
Kaiser Public Option	$1,492 - $1,572	170%
Kaiser Kp Select	$1,962 - $2,068	224%
Simplified Benefits Administration	$2,070 - $2,651	236%
Denver Health Medical Plan	$3,224 - $3,398	367%
Rocky Mountain Health Plan	$3,482 - $3,670	397%
First Health	$3,805 - $4,010	434%
Multiplan	$4,579 - $4,826	522%
Phcs	$4,579 - $4,826	522%

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 $2,980.
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 Uch-Memorial Health System 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.