CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Medstar Montgomery Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $863
  • Cash Discount Price: $845
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Medstar Montgomery Medical Center is $863. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $845. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 18101 Prince Philip Drive, Olney, MD.
Cash / Self-Pay
$845

Average discount available for prompt cash payment at this facility.

Insurance Median
$863

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)
Cash / Self-Pay: $845 (96%)
Insurance Median: $863 (98%)
Cash: $845 (96% of Medicare)
Ins. Median: $863 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $877.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $431 - $1,725 49%
Amerigroup $431 - $1,725 49%
Amerihealth Caritas District Of Columbia $431 - $1,725 49%
Carefirst Advantage Inc $431 - $1,725 49%
Carefirst Blue Choice Inc $431 - $1,725 49%
Cigna $431 - $1,725 49%
First Health $431 - $1,725 49%
Hscsn $431 - $1,725 49%
Humana $431 - $1,725 49%
Kaiser Permanente $431 - $1,725 49%
Magellan Behavioral Health Inc $431 - $1,725 49%
Mamsi $431 - $1,725 49%
Medstar Family Choice $431 - $1,725 49%
Medstar Family Choice Inc $431 - $1,725 49%
Ncppo Healthlink Ppo $431 - $1,725 49%
Pfc $431 - $1,725 49%
Private Healthcare Systems (Phcs) $431 - $1,725 49%
Tricare $431 - $1,725 49%
United Behavioral Health Inc $431 - $1,725 49%
UnitedHealthcare $431 - $1,725 49%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18101 Prince Philip Drive, Olney, MD 20832
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals