CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $920
  • Cash Discount Price: $1,683
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mt Sinai Hospital Medical Center is $920. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,683. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$1,683

Average discount available for prompt cash payment at this facility.

Insurance Median
$920

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: $1,683 (192%)
Insurance Median: $920 (105%)
Cash: $1,683 (192% of Medicare)
Ins. Median: $920 (105% 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
Partners In Hlth - All Plans $117 - $1,807 13%
Blue Cross Blue Shield $131 - $2,872 15%
Compsych Ip/Op Only - All Plans $175 - $2,710 20%
Healthlink Hmo $190 - $2,790 22%
Hfn Platinum $190 - $2,936 22%
Healthlink Ppo - All Other Plans $204 - $2,944 23%
Multiplan Primary Ntwrk/Phcs - All Other Plans $204 - $3,162 23%
Hfn Epo $234 - $3,614 27%
Multiplan Complementary Ntwrk $234 - $3,614 27%
Hfn Ppo - All Other Plans $257 - $3,975 29%
Ambetter / Centene $307 - $4,743 35%
Oscar - All Plans $321 - $4,969 37%
Cigna $361 - $7,174 41%
UnitedHealthcare $448 - $920 51%
Aetna $660 - $10,208 75%
Tricare $893 102%
Va Healthnet - All Plans $893 102%
Humana $917 - $14,183 105%
Advocate Physician Prtnrs Mcr $920 105%
Cenpatico Illinicare Dual $920 105%
Cenpatico Illinicare Mcr - All Other Plans $920 105%
Lawndale Christian - All Plans $920 105%
Meridian/Harmony D-Snp - All Plans $920 105%
Nextlevel Hlth Icp Fhp Aca - All Plans $920 105%
Harmony Behavioral Htlh - All Plans $948 108%
Zing Mcr Adv - All Plans $957 109%
Molina Mcr - All Other Plans $966 110%
Advocate Physician Prtnrs - All Other Plans $1,012 115%
Family Health Network Mcaid - All Plans $1,144 130%
Molina Mcaid $1,201 137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals