CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Good Samaritan Medical Center LLC

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,798
Cash Discount Price: Unavailable
vs. Medicare Baseline: 4.33x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Good Samaritan Medical Center LLC is $3,798. 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 4.33x the Medicare baseline. Located in 200 Exempla Cir, Lafayette, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,798

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: $3,798 (433%)

Ins. Median: $3,798 (433% 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 433% of the Medicare baseline (a markup of 333%). 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
Aetna	$635 - $8,528	72%
Geha	$635 - $5,514	72%
Preferred One	$635 - $3,793	72%
Aarp	$1,012	115%
UnitedHealthcare	$1,012 - $5,514	115%
Kaiser Snp	$1,022	116%
Select Health	$1,022	116%
Kaiser Perm Hmo	$1,759 - $4,005	200%
Kaiser Self Funded	$2,187 - $4,005	249%
Kaiser Perm Ppo/Pos	$2,219 - $4,127	253%
Allegiance	$2,377	271%
Cigna	$2,377 - $9,507	271%
Denv Hlth Med Plan	$2,658	303%
Blue Cross Blue Shield	$3,783 - $8,003	431%
Humana	$3,993	455%
Cofinity	$6,851	781%
First Health Network	$6,851	781%
Private Hlthcare Sys	$7,130	813%
Multiplan Inc	$8,081	921%

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 $X.
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 Good Samaritan Medical Center LLC 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.