CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Kuakini Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,206
Cash Discount Price: $3,932
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Kuakini Medical Center is $1,206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,932. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.37x the Medicare baseline. Located in 347 North Kuakini Street, Honolulu, HI.

Cash / Self-Pay

$3,932

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,206

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: $3,932 (448%)

Insurance Median: $1,206 (137%)

Cash: $3,932 (448% of Medicare)

Ins. Median: $1,206 (137% 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
Hmaa	$394	45%
Hmsa	$598 - $1,206	68%
UnitedHealthcare	$688 - $3,058	78%
Kaiser	$699 - $3,713	80%
Alohacare	$1,025 - $1,266	117%
Wellcare	$1,025 - $1,266	117%
Uha	$1,195	136%
Humana	$1,206	137%
Devoted Health	$1,266	144%
Mdx	$3,145	358%
Hma	$3,495	398%
Pswa	$3,495	398%

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 $3,932.
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 Kuakini Medical Center 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.