CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: The Women's Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $542
  • Cash Discount Price: $184
  • vs. Medicare Baseline: 0.62x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at The Women's Hospital is $542. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.62x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$184

Average discount available for prompt cash payment at this facility.

Insurance Median
$542

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: $184 (21%)
Insurance Median: $542 (62%)
Cash: $184 (21% of Medicare)
Ins. Median: $542 (62% 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 $79 - $1,085 9%
Blue Cross Blue Shield $79 - $3,414 9%
Meridian Health Il $79 - $932 9%
Molina Il $79 - $932 9%
Caresource $109 - $932 12%
Humana $109 - $932 12%
Iu Health $109 - $932 12%
Mhs $109 - $932 12%
Molina Ky $109 - $932 12%
Molina Ky Dual $109 - $932 12%
UnitedHealthcare $109 - $1,054 12%
Wellcare Ky $109 - $932 12%
Caresource Hip $110 - $913 13%
Caresource In $110 - $913 13%
Mdwise Hip $110 - $913 13%
Mhs Behavioral $110 - $913 13%
Ambetter / Centene $125 - $1,445 14%
Passport Molina Ky $130 - $542 15%
Immergrun $132 15%
Caresource Marketplace (Just4Me) $141 - $1,398 16%
Patoka Valley Health Care (80/20 Plan) $141 - $733 16%
Patoka Valley Health Care (90/10 Plan) $141 - $733 16%
Encorecombined $145 - $751 17%
Encoreprime $145 - $751 17%
Hst $147 - $1,398 17%
Alliance Coal $150 - $778 17%
Allied National/Zelis - Freedom Plan $152 - $2,283 17%
Claimdoc $158 - $1,351 18%
One Care $163 - $846 19%
Chamber Care $165 19%
Hope Trust $174 - $1,538 20%
Noncontracted $174 - $1,491 20%
Amish $184 - $788 21%
Self Pay $184 - $788 21%
Cigna $210 - $1,085 24%
Claritev (Formerly Phcs/Mulitplan) $210 - $1,085 24%
First Health/Coventry $210 - $1,085 24%
Healthlink $210 - $1,085 24%
Sagamore $210 - $1,085 24%
Center Care $315 - $1,350 36%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals