CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Lutheran Hospital of Indiana

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $588
  • Cash Discount Price: $359
  • vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Lutheran Hospital of Indiana is $588. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $359. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.67x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$359

Average discount available for prompt cash payment at this facility.

Insurance Median
$588

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: $359 (41%)
Insurance Median: $588 (67%)
Cash: $359 (41% of Medicare)
Ins. Median: $588 (67% 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
Physicians Health Plan Of Northern Indiana $69 - $4,001 8%
Ky Work Comp $70 - $2,554 8%
Amish Aid $83 - $3,040 9%
Lutheran Preferred Network $83 - $6,081 9%
Self Pay $83 - $3,649 9%
Cigna $90 - $3,679 10%
Php Freedom Network $92 - $3,364 10%
Blue Cross Blue Shield $103 - $3,760 12%
Aetna $111 - $4,824 13%
Lutheran Preferred $111 - $4,054 13%
Sagamore $127 - $5,483 14%
Encore Ppo $136 - $4,956 16%
Lutheran Network $139 - $5,068 16%
Multiplan $203 - $8,412 23%
Prime Health Services $208 - $7,601 24%
Encore Health Network $228 - $9,122 26%
Advantage Health Solutions $231 - $8,412 26%
Allied Benefit Systems $250 - $9,122 28%
Evolutions $250 - $9,122 28%
Veterans Eval Services $278 - $455 32%
One Call Care Diagnostics $627 71%
UnitedHealthcare $805 - $4,997 92%
Tricare $863 98%
Humana $894 - $3,560 102%
Iu Health Plan $894 102%
Managed Health Services $894 - $3,560 102%
Medicare (plans) $894 102%
Department Of Veterans Affairs $909 104%
Node Hospice Non Par Agree $909 104%
Node Va $909 104%
Node Devoted Health Mcr Adv $912 104%
In Dept Of Correction $945 108%
Node Pphp Mcr Adv $954 109%
Us Department Of Labor $1,136 129%
Lutheran Advanced Network $1,363 155%
Node Lutheran Network $1,363 - $1,590 155%
Node Lutheran Preferred Fixed 2 $1,363 155%
Align Network $1,454 166%
Encore Work Comp In $1,635 186%
Node Encore Kba Epo $2,181 249%
Node Encore Kba Ppo $2,726 311%
Care Source $3,560 406%
Medicaid / KanCare $3,560 406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals