CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Longs Peak Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,502
Cash Discount Price: $3,809
vs. Medicare Baseline: 2.85x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Longs Peak Hospital is $2,502. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,809. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.85x the Medicare baseline. Located in 1750 E Ken Pratt Blvd, Longmont, CO.

Cash / Self-Pay

$3,809

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,502

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: $3,809 (434%)

Insurance Median: $2,502 (285%)

Cash: $3,809 (434% of Medicare)

Ins. Median: $2,502 (285% 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 285% of the Medicare baseline (a markup of 185%). 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
Blue Cross Blue Shield	$508 - $4,052	58%
UnitedHealthcare	$641 - $1,022	73%
Aetna	$1,022 - $1,339	116%
Cigna	$1,022 - $7,710	116%
Cms	$1,022	116%
Devoted Health	$1,022	116%
Humana	$1,022	116%
Kaiser	$1,022	116%
Select Health	$1,022 - $1,484	116%
Simplified Benefits Administration	$3,830 - $4,549	437%
Denver Health Medical Plan	$5,441 - $6,529	620%
Rocky Mountain Health Plan	$5,550	633%
First Health	$6,420	732%
Multiplan	$6,529 - $7,509	744%
Phcs	$7,617	868%

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 $3,809.
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 Longs Peak 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.