CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Veterans Memorial Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$1,071

about 1.2× the $877 Medicare rate · typically $289–$2,957

modeled estimate · not a bill or quote

What this hospital charges insurers

$877

Below the fair price — a good deal

about $194 under the fair price · 1.0× Medicare

Medicare pays $877 Fair price $1,071 This hospital $877 Cash price $2,034 Hospital's list price $3,569

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 $877

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 $1,071 (about 1.2× the $877 Medicare rate). Veterans Memorial Hospital charges insurers about $877, or about $2,034 in cash — below the fair price — a good deal. Located in Waukon, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$1,535 - $3,034	175%
Blue Cross Blue Shieldmajor	$828	94%
Aetnamajor	$2,384	272%
Humanamajor	$1,535 - $2,677	175%
Amerigroup	$877 - $1,535	100%
Medica	$1,535 - $2,841	175%
Molina	$1,535 - $1,820	175%
Quartz	$1,535 - $2,677	175%
+ 4 smaller / regional plans	$1,535 - $1,820

Excludes 1 rental-network / third-party entry (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 2,034), 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 Veterans Memorial 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 Veterans Memorial Hospital

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

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