CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: St Elizabeth Edgewood

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,358

about 1.5× the $877 Medicare rate · typically $756–$1,866

modeled estimate · not a bill or quote

What this hospital charges insurers

$920

Below the fair price — a good deal

about $438 under the fair price · 1.0× Medicare

Medicare pays $877 Fair price $1,358 This hospital $920 Cash price $4,085 Hospital's list price $4,085

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $435 Priciest $920

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $1,358 (about 1.5× the $877 Medicare rate). St Elizabeth Edgewood charges insurers about $920, or about $4,085 in cash — below the fair price — a good deal. Located in Edgewood, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$868	99%
Blue Cross Blue Shieldmajor	$851	97%
Ambetter (Centene)	$1,703	194%
Devoted Health	$894	102%
WellCare	$920	105%
+ 1 smaller / regional plan	$1,890 - $2,103

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 4,085), 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 St Elizabeth Edgewood 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 St Elizabeth Edgewood

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

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