CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Henry Ford Health St John Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $997
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Henry Ford Health St John Hospital is $997. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.14x the Medicare baseline. Located in 22101 Moross Rd, Detroit, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$997

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%)
Insurance Median: $997 (114%)
Ins. Median: $997 (114% 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
Meridian Health Plan $450 51%
Ahlic $599 68%
Hap Hmo $599 68%
Hap Preferred $599 68%
Phcs Pos $720 82%
Phcs Ppo $720 82%
Medicare (plans) $947 - $1,047 108%
Amerihealth Vip Care $987 112%
Aetna $997 114%
Harbor Advantage Hmo $997 114%
Tricare $997 114%
Veterans Choice $997 114%
Humana $1,007 115%
Meridian Wellcare $1,047 119%
Molina Advantage $1,047 119%
Molina Health Link $1,047 119%
Ppom $1,098 125%
Ambetter / Centene $1,246 142%
Molina Market Place $1,246 142%
Smarthealth $1,396 159%
Aaa-Auto Insurance $1,894 216%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22101 Moross Rd, Detroit, MI 48236
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals