CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Alton Memorial Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,039

about 1.2× the $877 Medicare rate · typically $899–$2,215

modeled estimate · not a bill or quote

What this hospital charges insurers

$920

Below the fair price — a good deal

about $119 under the fair price · 1.0× Medicare

Medicare pays $877 Fair price $1,039 This hospital $920 Cash price $4,054 Hospital's list price $6,757

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $287 Priciest $920

Black dot = this hospital, among the 9 IL 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 $1,039 (about 1.2× the $877 Medicare rate). Alton Memorial Hospital charges insurers about $920, or about $4,054 in cash — below the fair price — a good deal. Located in Alton, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$920 - $5,737	105%
Blue Cross Blue Shieldmajor	$920 - $6,718	105%
Aetnamajor	$920 - $5,792	105%
Cignamajor	$3,047 - $6,178	347%
Humanamajor	$920 - $4,293	105%
Devoted Health	$966	110%
HealthLink	$2,809 - $5,830	320%
Medica	$966 - $6,178	110%
Priority Health	$3,307 - $4,409	377%
UniCare	$3,765 - $5,830	429%
+ 19 smaller / regional plans	$948 - $5,792

Excludes 6 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 4,054), 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 Alton 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 Alton Memorial Hospital

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

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