CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Metrowest Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,223
about 1.4× the $877 Medicare rate · typically $740–$2,020
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,096
Below the fair price — a good deal
about $127 under the fair price · 1.2× Medicare
Medicare pays $877 Fair price $1,223 This hospital $1,096 Cash price $11,504 Hospital's list price $15,338

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 5 charge more and 3 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.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $1,223 (about 1.4× the $877 Medicare rate). Metrowest Medical Center charges insurers about $1,096, or about $11,504 in cash — below the fair price — a good deal. Located in Framingham, 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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $1,243 - $1,422 142%
Aetnamajor $2,789 318%
Health Net $948 108%
+ 1 smaller / regional plan $948
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 115 Lincoln Street, Framingham, MA 01701
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals