CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Kosciusko Community Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,303

about 1.5× the $877 Medicare rate · typically $817–$2,398

modeled estimate · not a bill or quote

Medicare pays $877 Fair price $1,303 Cash price $320 Hospital's list price $1,471

How we calculate the fair BaseRate →

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	$108 - $4,775	12%
Blue Cross Blue Shieldmajor	$957 - $3,734	109%
Aetnamajor	$114 - $4,830	13%
Cignamajor	$176 - $5,737	20%
Humanamajor	$957 - $3,560	109%
CareSource	$2,738 - $3,560	312%
Devoted Health	$977	111%
Health Net	$259 - $8,443	30%
+ 19 smaller / regional plans	$88 - $8,533

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 9 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 320), 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 Kosciusko Community Hospital 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 Kosciusko Community Hospital

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

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