CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Boston Medical Center-Brighton

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,354

about 1.5× the $877 Medicare rate · typically $885–$2,001

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,086

Below the fair price — a good deal

about $268 under the fair price · 1.2× Medicare

Medicare pays $877 Fair price $1,354 This hospital $1,086 Cash price $1,633 Hospital's list price $3,629

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

One of the lower prices — 7 of 8 other MA hospitals charge more for the same procedure.

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 $1,354 (about 1.5× the $877 Medicare rate). Boston Medical Center-Brighton charges insurers about $1,086, or about $1,633 in cash — below the fair price — a good deal. Located in Brighton, 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	$1,029	117%
Blue Cross Blue Shieldmajor	$1,029 - $1,805	117%
Aetnamajor	$1,029 - $2,654	117%
Cignamajor	$3,412	389%
Humanamajor	$1,029	117%
Harvard Pilgrim	$2,424	276%
Tufts Health Plan	$3,006 - $3,412	343%
UniCare	$1,253	143%
+ 13 smaller / regional plans	$475 - $2,748

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

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 1,633), 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-Brighton 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-Brighton

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

South Shore Hospital · South Weymouth $1,044
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
Boston Medical Center · Boston $1,197

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