CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Boulder Community Health

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $978
  • Cash Discount Price: $3,885
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Boulder Community Health is $978. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,885. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.11x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$3,885

Average discount available for prompt cash payment at this facility.

Insurance Median
$978

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: $3,885 (443%)
Insurance Median: $978 (111%)
Cash: $3,885 (443% of Medicare)
Ins. Median: $978 (111% 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.

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
Aetna $88 - $7,213 10%
Medicare (plans) $88 - $3,147 10%
Select Health Colorado Public Option $88 - $3,147 10%
Select Health Value Network $88 - $3,147 10%
Devoted Health $92 - $3,313 10%
Blue Cross Blue Shield $114 - $4,931 13%
Health Spring $114 - $1,022 13%
Humana $114 - $1,022 13%
UnitedHealthcare $114 - $1,051 13%
Clear Spring $117 - $1,053 13%
Medicaid / KanCare $136 - $706 16%
Rocky Mountain Health Maintenance Organization $136 - $1,171 16%
Colorado Access $149 - $917 17%
Multiplan $160 - $5,797 18%
Phcs $160 - $5,797 18%
Rocky Mountain Health Maintenance Organization Private Plan $162 - $5,797 18%
Integrated Health Plans Bch $173 - $6,212 20%
Kaiser Ppo $176 - $2,407 20%
Kaiser Public Option $176 - $1,961 20%
Beech Street Community Medical Associates $178 - $989 20%
Cigna $185 - $6,626 21%
Casualty Management Network, Prime Health Services Behavioral Health $196 - $7,040 22%
Mines And Associates $196 - $7,040 22%
Three Rivers Provider Network $196 - $7,040 22%
Zelis (Profee) $196 - $7,040 22%
Casualty Management Network, Prime Health Services Community Medical Associates $208 - $7,454 24%
National Preferred Provider Network $208 - $7,454 24%
Rockport Healthcare Group Community Medical Associates $208 - $7,454 24%
Usa $208 - $7,454 24%
Rockport Healthcare Group Bch $215 - $7,702 25%
Health Payors Organization $219 - $7,868 25%
Health Management Network Bch Community Medical Associates $222 - $7,951 25%
Health Management Network Community Medical Associates $222 - $7,951 25%
National Provider Network $224 - $8,034 26%
Kaiser $2,396 273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4747 Arapahoe Avenue, Boulder, CO 80304
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals