CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Uchealth Grandview Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,329
Cash Discount Price: $3,809
vs. Medicare Baseline: 3.79x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Uchealth Grandview Hospital is $3,329. 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 3.79x the Medicare baseline. Located in 5623 Pulpit Peak Vw, Colorado Springs, CO.

Cash / Self-Pay

$3,809

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,329

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: $3,329 (379%)

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

Ins. Median: $3,329 (379% 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 379% of the Medicare baseline (a markup of 279%). 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
UnitedHealthcare	$255 - $1,022	29%
Blue Cross Blue Shield	$507 - $4,059	58%
Aetna	$1,022 - $1,279	116%
Cigna	$1,022 - $6,366	116%
Cms	$1,022	116%
Devoted Health	$1,022	116%
Humana	$1,022	116%
Kaiser	$1,022 - $3,677	116%
Select Health	$1,022 - $4,008	116%
Simplified Benefits Administration	$3,471 - $4,124	396%
Denver Health Medical Plan	$5,441	620%
Rocky Mountain Health Plan	$5,876	670%
First Health	$6,420	732%
Multiplan/Phcs	$7,509	856%

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 Uchealth Grandview 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.