CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,170
Cash Discount Price: $2,082
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Kapiolani Medical Center for Women & Children is $1,170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,082. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.33x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$2,082

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,170

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: $2,082 (237%)

Insurance Median: $1,170 (133%)

Cash: $2,082 (237% of Medicare)

Ins. Median: $1,170 (133% 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
Hmsa	$421 - $1,017	48%
Ohana	$446 - $1,221	51%
UnitedHealthcare	$631	72%
Alohacare	$1,017 - $1,119	116%
Kaiser	$1,017 - $3,054	116%
Mdx	$1,017 - $2,776	116%
Devoted	$1,068	122%
Uha	$1,735 - $2,602	198%
Mimoh	$2,429 - $2,602	277%
Hwmg/Hmaa	$2,755	314%
Hcha	$2,776	316%
Multiplan	$2,776 - $2,950	316%
Verdegard	$2,776	316%
Mccp	$2,950	336%
Coventry	$3,123	356%

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 $2,082.
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 Kapiolani Medical Center for Women & Children 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.