CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Presence Saints Mary and Elizabeth Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,229

about 1.4× the $877 Medicare rate · typically $934–$1,420

modeled estimate · not a bill or quote

What this hospital charges insurers

$943

Below the fair price — a good deal

about $286 under the fair price · 1.1× Medicare

Medicare pays $877 Fair price $1,229 This hospital $943 Cash price $915 Hospital's list price $8,168

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 $943

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

A fair price for a Sleep study (overnight, in lab) is about $1,229 (about 1.4× the $877 Medicare rate). Presence Saints Mary and Elizabeth Medical Center charges insurers about $943, or about $915 in cash — below the fair price — a good deal. Located in Chicago, 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	$916 - $2,025	104%
Blue Cross Blue Shieldmajor	$870 - $1,282	99%
Aetnamajor	$916 - $993	104%
Cignamajor	$916	104%
Humanamajor	$916 - $1,007	104%
Ambetter (Centene)	$1,483	169%
Devoted Health	$916	104%
Health Net	$1,099	125%
HealthPartners	$916 - $1,053	104%
Meridian	$962 - $1,042	110%
Molina	$943 - $1,374	107%
WellCare	$916	104%
+ 11 smaller / regional plans	$563 - $1,419

Government programs also on file: Medicare, Medicaid, 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 915), 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 Presence Saints Mary and Elizabeth Medical Center 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 Presence Saints Mary and Elizabeth Medical Center

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

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