CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Northwest Specialty Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $883
  • Cash Discount Price: $3,207
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Northwest Specialty Hospital is $883. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,207. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.01x the Medicare baseline. Located in 1593 East Polston Avenue, Post Falls, ID.
Cash / Self-Pay
$3,207

Average discount available for prompt cash payment at this facility.

Insurance Median
$883

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: $3,207 (366%)
Insurance Median: $883 (101%)
Cash: $3,207 (366% of Medicare)
Ins. Median: $883 (101% 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.

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
Aetna $442 - $1,403 50%
Blue Cross Blue Shield $442 - $2,063 50%
Kaiser Foundation Health Plan Of Wa $442 - $1,316 50%
Molina Healthcare Of Utah $442 - $883 50%
Regence Blueshield Of Id $442 - $1,162 50%
UnitedHealthcare $442 - $883 50%
Elap Services $618 - $1,236 70%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1593 East Polston Avenue, Post Falls, ID 83854
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals