CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Franklin General Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$1,151

about 1.3× the $877 Medicare rate · typically $307–$3,071

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,171

About the fair price

about $20 over the fair price · 1.3× Medicare

Medicare pays $877 Fair price $1,151 This hospital $1,171 Cash price $3,326 Hospital's list price $3,696

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $211 Priciest $1,171

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $1,151 (about 1.3× the $877 Medicare rate). Franklin General Hospital charges insurers about $1,171, or about $3,326 in cash — about the fair price. Located in Hampton, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,478 - $3,071	168%
Blue Cross Blue Shieldmajor	$1,115 - $1,493	127%
Aetnamajor	$3,437 - $3,511	392%
Ambetter (Centene)	$1,546 - $2,365	176%
Amerigroup	$1,493 - $1,561	170%
Molina	$1,538 - $1,569	175%
Oscar Health	$2,218	253%
+ 7 smaller / regional plans	$1,478 - $3,142

Government programs also on file: Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,326), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Franklin General Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Franklin General Hospital

Compare: Sleep study (overnight, in lab) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.