CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: HSHS Good Shepherd Hospital Inc

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$760

about 0.9× the $877 Medicare rate · typically $280–$1,877

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,629

Well above the fair price

about $1,869 over the fair price · 3.0× Medicare

Medicare pays $877 Fair price $760 This hospital $2,629 Cash price $4,579 Hospital's list price $6,360

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 $2,629

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 $760 (about 0.9× the $877 Medicare rate). HSHS Good Shepherd Hospital Inc charges insurers about $2,629, or about $4,579 in cash — well above the fair price. Located in Shelbyville, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $760. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$1,590 - $5,069	181%
Blue Cross Blue Shieldmajor	$1,590	181%
Aetnamajor	$1,590 - $4,446	181%
Cignamajor	$5,660	645%
Humanamajor	$1,590	181%
HealthLink	$5,304	605%
Meridian	$2,754	314%
Molina	$1,670 - $2,629	190%
+ 12 smaller / regional plans	$1,590 - $6,360

Excludes 4 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 4,579), 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 HSHS Good Shepherd Hospital Inc 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 HSHS Good Shepherd Hospital Inc

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

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