CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: HCA Healthone Mountain Ridge

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $5,654
Cash Discount Price: $16,849
vs. Medicare Baseline: 6.44x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at HCA Healthone Mountain Ridge is $5,654. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,849. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 6.44x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$16,849

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,654

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: $16,849 (1920%)

Insurance Median: $5,654 (644%)

Cash: $16,849 (1920% of Medicare)

Ins. Median: $5,654 (644% 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 644% of the Medicare baseline (a markup of 544%). 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
Life Source Services	$350	40%
United	$1,353 - $7,582	154%
Pinnacol Workers Comp	$1,609	183%
Multiplan	$1,677 - $15,164	191%
Rocky Mountain Health Plan	$2,456	280%
Blue Cross Blue Shield	$2,560 - $12,468	292%
Vail Health	$2,561	292%
Kaiser	$3,184 - $5,981	363%
Cigna	$3,252 - $10,783	371%
Bright Health	$5,055	576%
Colorado Program For Children With Special Needs	$5,729	653%
Aetna	$8,896	1014%
Western Plains Community Health	$10,952	1248%
Northcare	$11,794	1344%
Physician Health Partners	$11,794	1344%
Medical Development International	$13,479	1536%
Prime Health	$15,164	1728%

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 $16,849.
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 HCA Healthone Mountain Ridge 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.