CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Madison Memorial Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$860

about 1.0× the $877 Medicare rate · typically $693–$1,069

modeled estimate · not a bill or quote

What this hospital charges insurers

$848

About the fair price

about $12 under the fair price · 1.0× Medicare

Medicare pays $877 Fair price $860 This hospital $848 Cash price $3,113 Hospital's list price $4,150

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 3 charge more and 5 charge less, among the 9 ID hospitals compared.

Cheapest $195 Priciest $1,005

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $860 (about 1.0× the $877 Medicare rate). Madison Memorial Hospital charges insurers about $848, or about $3,113 in cash — about the fair price. Located in Rexburg, ID.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor	$844	96%
Aetnamajor	$844 - $1,017	96%
Moda Health	$1,688	192%
Molina	$844	96%
SelectHealth	$853	97%
+ 3 smaller / regional plans	$844 - $1,435

Government programs also on file: Military & VA.

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 3,113), 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 Madison 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 Madison Memorial Hospital

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

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