CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Greater Baltimore Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $669
Cash Discount Price: $1,306
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Greater Baltimore Medical Center is $669. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,306. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.76x the Medicare baseline. Located in 6701 North Charles Street, Baltimore, MD.

Cash / Self-Pay

$1,306

Average discount available for prompt cash payment at this facility.

Insurance Median

$669

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: $1,306 (149%)

Insurance Median: $669 (76%)

Cash: $1,306 (149% of Medicare)

Ins. Median: $669 (76% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$628 - $708	72%
Md Physician Care [237]	$628	72%
Medicaid / KanCare	$628	72%
Priority Partners [241]	$628	72%
UnitedHealthcare	$628 - $745	72%
Wellpoint [235]	$628	72%
Alterwood Health [290]	$641	73%
Jai Medical Services [236]	$659	75%
Carefirst Maryland Health Advantage Mca [264]	$669	76%
Carefirst [201]	$669 - $1,140	76%
Cfchp Mco [239]	$669	76%
Cigna	$669 - $921	76%
Communicare Advantage [300]	$669	76%
Humana	$669	76%
Johns Hopkins [213]	$669 - $896	76%
Keycare Advantage [299]	$669	76%
Medicare (plans)	$669	76%
Multiplan/Phcs [296]	$669 - $769	76%
Provider Partners Health Plan [298]	$669	76%
First Health Network [268]	$869	99%
Kaiser Permanente Hmo [231]	$943	107%
Usa Managed Care Organization [301]	$1,023	117%
Carefirst Blue Choice Hmo [253]	$1,048	119%
Carefirst Administrator [252]	$1,140	130%
All Payers	$2,886	329%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,306.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 95810.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Greater Baltimore Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 95810.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.