CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Trinity Rock Island

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $997
Cash Discount Price: $1,397
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Trinity Rock Island is $997. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,397. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.14x the Medicare baseline. Located in 2701 17Th St, Rock Island, IL.

Cash / Self-Pay

$1,397

Average discount available for prompt cash payment at this facility.

Insurance Median

$997

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: $1,397 (159%)

Insurance Median: $997 (114%)

Cash: $1,397 (159% of Medicare)

Ins. Median: $997 (114% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$108 - $1,587	12%
Ambetter / Centene	$108 - $1,697	12%
Blue Cross Blue Shield	$108 - $2,361	12%
Health Alliance	$108 - $1,082	12%
Amerivantage	$114 - $1,114	13%
Humana	$114 - $1,114	13%
Medicare (plans)	$114 - $1,082	13%
Meridian Health Plan	$114 - $1,114	13%
UnitedHealthcare	$114 - $2,670	13%
Health Partners Open Network	$246 - $1,478	28%
Wellmark Uph Self-Funded	$263 - $2,361	30%
Cigna	$285 - $2,751	32%
Iowa Total Care	$791	90%
Bc Illinois Community	$997 - $1,124	114%
Medica Exchange Inspire	$2,057	234%
Medica Exchange Insure	$2,302	262%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,397.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 95810.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Trinity Rock Island is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 95810.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.