CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Indiana University Health Tipton Hospital Inc

Billing Code: 95810 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$892

about 1.0× the $877 Medicare rate · typically $362–$4,346

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,732

Well above the fair price

about $3,840 over the fair price · 5.4× Medicare

Medicare pays $877 Fair price $892 This hospital $4,732 Cash price $2,300 Hospital's list price $6,108

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $316 Priciest $4,732

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $892 (about 1.0× the $877 Medicare rate). Indiana University Health Tipton Hospital Inc charges insurers about $4,732, or about $2,300 in cash — well above the fair price. Located in Tipton, IN.

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 $892. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$3,560 - $5,907	406%
Blue Cross Blue Shieldmajor	$3,560 - $4,732	406%
Aetnamajor	$3,678 - $5,239	419%
Cignamajor	$2,727 - $5,479	311%
CareSource	$3,560	406%
Health Net	$2,727 - $5,024	311%
+ 9 smaller / regional plans	$2,645 - $6,603

Excludes 1 rental-network / third-party entry (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 2,300), 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 Indiana University Health Tipton 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 Indiana University Health Tipton Hospital Inc

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

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