CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Intermountain Health St. Mary's Regional Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $8,166
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 9.31x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Intermountain Health St. Mary's Regional Hospital is $8,166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 9.31x the Medicare baseline. Located in 2635 N 7Th St, Grand Junction, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,166

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%)
Insurance Median: $8,166 (931%)
Ins. Median: $8,166 (931% 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 931% of the Medicare baseline (a markup of 831%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Select Health $1,022 116%
UnitedHealthcare $1,022 - $8,876 116%
Blue Cross Blue Shield $3,500 - $3,814 399%
Monument Health $5,040 574%
Cigna $6,210 - $7,197 708%
Allegiance $7,197 820%
Aetna $7,588 - $8,896 865%
Kaiser Perm Ppo/Pos $8,166 931%
Geha $8,423 - $8,876 960%
Meritain Health $8,423 960%
Humana $8,856 1009%
Cofinity $8,896 1014%
First Health Network $8,896 1014%
Private Hlthcare Sys $9,359 1067%
Public Employees Health $9,762 1113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2635 N 7Th St, Grand Junction, CO 81501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals