CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Holland Community Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $607
Cash Discount Price: $1,605
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Holland Community Hospital is $607. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,605. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.69x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$1,605

Average discount available for prompt cash payment at this facility.

Insurance Median

$607

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: $1,605 (183%)

Insurance Median: $607 (69%)

Cash: $1,605 (183% of Medicare)

Ins. Median: $607 (69% 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
Nomi Health - All Plans	$84 - $2,833	10%
Life Circles-All Plans	$111 - $813	13%
Health Alliance Mcr Adv	$117 - $856	13%
Ph Mcr Adv	$117 - $856	13%
UnitedHealthcare	$117 - $5,151	13%
Va Ccn - All Plans	$117 - $856	13%
Aetna	$121 - $4,121	14%
Longevity Health Plan-All Plans	$126 - $924	14%
Blue Care Network - All Plans	$136	16%
Blue Cross Blue Shield	$146 - $2,523	17%
First Health-All Plans	$152 - $4,636	17%
Cigna	$156 - $1,535	18%
Cofinity -All Plans	$159 - $3,606	18%
Priority Health - All Other Plans	$159 - $1,701	18%
Benefit Source Inc-All Plans	$160 - $4,636	18%
Sisco-All Other Plans	$193 - $2,178	22%
Asr - All Plans	$204 - $2,027	23%
Health Alliance Ahl - All Other Plans	$204 - $2,027	23%
Health Alliance Hmo	$204 - $1,939	23%
Multiplan - All Plans	$222 - $4,481	25%
Meridian Mcaid Profee Only-All Plans	$401	46%
Molina Mcaid - All Plans	$401 - $1,648	46%
Ph Mcaid	$401 - $1,648	46%
Sisco Epi	$2,178	248%
Usa Managed Care-All Plans	$4,636	528%
Integrated Health Plans-All Plans	$4,893	558%

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 $1,605.
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 Holland Community Hospital 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.