CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $644
  • Cash Discount Price: $3,590
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Munson Healthcare Cadillac Hospital is $644. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,590. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.73x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$3,590

Average discount available for prompt cash payment at this facility.

Insurance Median
$644

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: $3,590 (409%)
Insurance Median: $644 (73%)
Cash: $3,590 (409% of Medicare)
Ins. Median: $644 (73% 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
Mclaren Health Plan $74 - $2,658 8%
Meridian $74 - $448 8%
Molina $74 - $924 8%
Priority Health $74 - $1,661 8%
UnitedHealthcare $74 - $2,618 8%
Blue Cross Blue Shield $75 - $1,594 9%
American Health Associates $117 - $856 13%
Autumnwood Of Mcbain Skilled Nursing $117 - $856 13%
Blue Care Network $117 - $856 13%
Hap (Health Alliance Plan) $117 - $3,378 13%
Humana $117 - $856 13%
Medicare (plans) $117 - $856 13%
Michigan Amish Medical Board $117 - $856 13%
Promedica $117 - $856 13%
Samaritas Senior Living Skilled Nursing $117 - $856 13%
Wellcare (Meridian) $117 - $856 13%
Aetna $146 - $3,209 17%
Cofinity $146 - $3,294 17%
Cigna $159 - $1,661 18%
Provider Network Of America Group Health $164 - $3,590 19%
Asr/Physicians Care $176 - $3,378 20%
Employee Benefits Logistics $199 - $1,455 23%
Munson Hospice $852 - $2,956 97%
Hospice Of Michigan $2,534 289%
Enterprise Group Planning/Employee Benefit Plan $3,378 385%
Medical Cost Savings Solution $3,378 385%
Nomi Health $3,378 385%
Robbing Group And Regency Employee Benefits $3,378 385%
First Health/Coventry Network $3,590 409%
Three Rivers Provider Network $3,590 409%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals