CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Guttenberg Municipal Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,746
Cash Discount Price: $3,030
vs. Medicare Baseline: 3.13x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Guttenberg Municipal Hospital is $2,746. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,030. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.13x the Medicare baseline. Located in 200 Main Street, Guttenberg, IA.

Cash / Self-Pay

$3,030

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,746

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: $3,030 (345%)

Insurance Median: $2,746 (313%)

Cash: $3,030 (345% of Medicare)

Ins. Median: $2,746 (313% 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 313% of the Medicare baseline (a markup of 213%). 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
Wellmark	$747 - $3,787	85%
Aetna	$1,969 - $3,787	224%
Medical Associates	$1,969 - $3,787	224%
UnitedHealthcare	$1,969 - $3,787	224%
Molina	$2,059 - $3,787	235%
Humana	$2,088 - $3,787	238%
Iowa Total Care	$2,269 - $3,787	259%
Health Partners	$2,651	302%
Midlands Choice	$2,651	302%
Quartz	$3,030	345%
Health Choices	$3,257	371%

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 $3,030.
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 Guttenberg Municipal 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.