CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Norton Hospitals, Inc

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,550
Cash Discount Price: $581
vs. Medicare Baseline: 1.77x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Norton Hospitals, Inc is $1,550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $581. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.77x the Medicare baseline. Located in 200 East Chestnut Street, Louisville, KY.

Cash / Self-Pay

$581

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,550

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: $581 (66%)

Insurance Median: $1,550 (177%)

Cash: $581 (66% of Medicare)

Ins. Median: $1,550 (177% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$320 - $3,568	36%
Aetna	$368 - $2,833	42%
Passport	$388 - $774	44%
Humana	$465 - $1,742	53%
Siho	$679 - $2,902	77%
Cigna	$721 - $2,601	82%
Blue Cross Blue Shield	$824 - $3,363	94%
Wellcare	$954	109%
Siho In Exchange	$1,357 - $2,709	155%
Multiplan	$1,512 - $3,290	172%
Correct Care	$1,609 - $3,212	183%
Correct Care Ob & Gyn	$1,609 - $3,212	183%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $581.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 95810.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Norton Hospitals, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 95810.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.