CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Orthocolorado Hosp at St Anthony Med Campus

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,507
Cash Discount Price: $4,482
vs. Medicare Baseline: 1.72x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Orthocolorado Hosp at St Anthony Med Campus is $1,507. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,482. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.72x the Medicare baseline. Located in 11650 W 2Nd Pl, Lakewood, CO.

Cash / Self-Pay

$4,482

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,507

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: $4,482 (511%)

Insurance Median: $1,507 (172%)

Cash: $4,482 (511% of Medicare)

Ins. Median: $1,507 (172% 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.

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
UnitedHealthcare	$506 - $6,499	58%
Aetna	$511 - $1,672	58%
Blue Cross Blue Shield	$511 - $3,436	58%
Cigna	$511 - $2,122	58%
Devoted Health	$511	58%
Humana	$511	58%
Innovage	$511	58%
Kaiser	$511 - $3,087	58%
Medicare (plans)	$511	58%
Centura Employee Plan	$785	89%
Direct To Employer	$1,016 - $4,482	116%
Peak Health	$1,363 - $4,370	155%
Multiplan	$1,568 - $9,524	179%
Denver Health	$2,644	301%
United Colorado Doctor'S Plan	$4,202	479%

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 $4,482.
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 Orthocolorado Hosp at St Anthony Med Campus 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.