CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: UW Health

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $877
  • Cash Discount Price: $1,212
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at UW Health is $877. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,212. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.00x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.
Cash / Self-Pay
$1,212

Average discount available for prompt cash payment at this facility.

Insurance Median
$877

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: $1,212 (138%)
Insurance Median: $877 (100%)
Cash: $1,212 (138% of Medicare)
Ins. Median: $877 (100% 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 $439 - $3,515 50%
Blue Cross Blue Shield $439 - $2,409 50%
Humana $439 - $877 50%
Medicare (plans) $439 - $965 50%
Mychoice Wi Medical Adv $439 - $877 50%
UnitedHealthcare $439 - $3,743 50%
Quartz Aso $611 - $760 70%
Quartz Fully Insured $611 - $760 70%
Ecoh $2,470 - $3,833 282%
Hfn $2,470 - $3,833 282%
Alliance Premier Network $2,658 303%
The Alliance $3,421 390%
Wps Ppo $3,765 429%
Cigna $3,886 443%
Beloit Healt System $4,394 501%
Mercycare $4,546 518%
First Health/Coventry $4,788 546%
Health Payment Systems $5,682 648%
Healthsmart $5,682 648%
Sheboygan Employers Health Network $6,061 691%
Multiplan $6,773 772%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East State Street, Rockford, IL 61104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals