CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Melrosewakefield Healthcare

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,456

about 1.7× the $877 Medicare rate · typically $896–$2,429

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,875

Well above the fair price

about $1,419 over the fair price · 3.3× Medicare

Medicare pays $877 Fair price $1,456 This hospital $2,875 Cash price $2,111 Hospital's list price $3,016

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 $2,875

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 $1,456 (about 1.7× the $877 Medicare rate). Melrosewakefield Healthcare charges insurers about $2,875, or about $2,111 in cash — well above the fair price. Located in Melrose, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,456. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$2,599 - $3,167	296%
Blue Cross Blue Shieldmajor	$1,390 - $3,016	158%
Aetnamajor	$1,056 - $3,261	120%
Cignamajor	$1,508 - $2,867	172%
AmeriHealth	$1,056	120%
AvMed	$1,056	120%
GEHA	$1,056	120%
Harvard Pilgrim	$2,875 - $3,167	328%
Tufts Health Plan	$1,125 - $3,016	128%
WellSense	$3,016	344%
+ 106 smaller / regional plans	$531 - $3,167

Government programs also on file: Medicare, Medicaid.

Excludes 12 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 2,111), 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 Melrosewakefield Healthcare 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 Melrosewakefield Healthcare

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.