CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Boston Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,414

about 1.6× the $877 Medicare rate · typically $879–$2,562

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,197

Below the fair price — a good deal

about $217 under the fair price · 1.4× Medicare

Medicare pays $877 Fair price $1,414 This hospital $1,197 Cash price $1,694 Hospital's list price $3,765

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $1,044 Priciest $1,197

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

A fair price for a Sleep study (overnight, in lab) is about $1,414 (about 1.6× the $877 Medicare rate). Boston Medical Center charges insurers about $1,197, or about $1,694 in cash — below the fair price — a good deal. Located in Boston, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$998 - $2,451	114%
Blue Cross Blue Shieldmajor	$998 - $1,860	114%
Aetnamajor	$998 - $1,841	114%
Cignamajor	$2,718 - $3,200	310%
Humanamajor	$998	114%
Harvard Pilgrim	$2,244	256%
Tufts Health Plan	$431 - $2,718	49%
UniCare	$1,253	143%
WellCare	$1,037	118%
+ 20 smaller / regional plans	$513 - $2,451

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (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 1,694), 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 Boston Medical Center 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 Boston Medical Center

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

South Shore Hospital · South Weymouth $1,044
Boston Medical Center-Brighton · Brighton $1,086
Berkshire Medical Center · Pittsfield $1,095
Metrowest Medical Center · Framingham $1,096
North Adams Regional Hospital Corporation · North Adams $1,104
Falmouth Hospital · Falmouth $1,127
North Shore Medical Center - · Salem $1,184
Brigham and Women Faulkner Hospital · Jamaica Plain $1,184

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