CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Woodlawn Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,305
  • Cash Discount Price: $3,781
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Woodlawn Hospital is $1,305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,781. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.49x the Medicare baseline. Located in 1400 E 9Th St, Rochester, IN.
Cash / Self-Pay
$3,781

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,305

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: $3,781 (431%)
Insurance Median: $1,305 (149%)
Cash: $3,781 (431% of Medicare)
Ins. Median: $1,305 (149% 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
Blue Cross Blue Shield $913 - $4,616 104%
Caresource Mcaid Hww $913 104%
Mdwise Excel Hhw & Hcc $913 104%
Mhs Mcaid Hcc $913 104%
Mhs Mcaid Hhw $913 104%
UnitedHealthcare $913 - $4,378 104%
Aetna $951 - $5,473 108%
Caresource Mcaid Hip $951 - $1,267 108%
Caresource Mcr Adv $951 - $1,267 108%
Humana $951 - $4,471 108%
Mdwise Mcaid Excel Hip $951 - $1,267 108%
Mhs Exch Mrktplce-All Other Plans $951 - $1,267 108%
Mhs Mcaid Hip $951 - $1,267 108%
Mhs Mcr Adv $970 - $1,293 111%
Caresource Exch - All Other Plans $1,236 - $1,648 141%
Ambetter / Centene $1,264 - $1,686 144%
Partners Direct Health-All Plans $2,938 - $3,917 335%
Cigna $3,094 - $4,897 353%
Parkview Health Plans-All Plans $3,241 - $4,321 369%
Sagamore All Other Grps - All Other Plans $3,630 - $4,839 414%
Encore Comm-All Plans $3,673 - $4,897 419%
Phcs/Multiplan-All Plans $4,019 - $5,358 458%
Community Health Alliance-All Plans $4,105 - $5,473 468%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 E 9Th St, Rochester, IN 46975
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals