CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Falmouth Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,149
about 1.3× the $877 Medicare rate · typically $961–$1,731
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,127
About the fair price
about $22 under the fair price · 1.3× Medicare
Medicare pays $877 Fair price $1,149 This hospital $1,127 Cash price $2,250 Hospital's list price $5,294

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 MA hospitals compared.

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 $1,149 (about 1.3× the $877 Medicare rate). Falmouth Hospital charges insurers about $1,127, or about $2,250 in cash — about the fair price. Located in Falmouth, MA.

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 $1,024 - $1,039 117%
Blue Cross Blue Shieldmajor $1,101 - $2,371 125%
Harvard Pilgrim $1,017 - $1,352 116%
Tufts Health Plan $1,024 - $1,321 117%
UniCare $870 - $2,886 99%
WellSense $1,034 - $2,684 118%
+ 6 smaller / regional plans $1,017 - $2,478

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Facility Profile & Credentials

  • Address: 67 & 100 Ter Heun Drive, Falmouth, MA 02540
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals