CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $6,802
Cash Discount Price: $19,161
vs. Medicare Baseline: 7.75x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at The Medical Center of Aurora & South Hospital is $6,802. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,161. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 7.75x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.

Cash / Self-Pay

$19,161

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,802

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: $19,161 (2184%)

Insurance Median: $6,802 (775%)

Cash: $19,161 (2184% of Medicare)

Ins. Median: $6,802 (775% 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 775% of the Medicare baseline (a markup of 675%). 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
United	$1,353 - $8,622	154%
Pinnacol Workers Comp	$1,609	183%
Multiplan	$1,677 - $17,245	191%
Rocky Mountain Health Plan	$2,456	280%
Blue Cross Blue Shield	$2,560 - $14,179	292%
Vail Health	$2,912	332%
Kaiser	$3,832 - $6,802	437%
Cigna	$4,139 - $12,263	472%
Bright Health	$5,748	655%
Colorado Program For Children With Special Needs	$8,048	917%
Aetna	$10,117	1153%
Western Plains Community Health	$12,455	1420%
Northcare	$13,413	1529%
Physician Health Partners	$13,413	1529%
Medical Development International	$15,329	1747%
Prime Health	$17,245	1966%

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 $19,161.
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 The Medical Center of Aurora & South Hospital 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.