CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: University of Michigan Health - West

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,590
Cash Discount Price: $2,143
vs. Medicare Baseline: 4.09x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at University of Michigan Health - West is $3,590. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,143. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.09x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$2,143

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,590

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: $2,143 (244%)

Insurance Median: $3,590 (409%)

Cash: $2,143 (244% of Medicare)

Ins. Median: $3,590 (409% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 409% of the Medicare baseline (a markup of 309%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$470 - $1,262	54%
Molina Healthcare Of Mi	$470	54%
Care Resources	$790	90%
Humana	$877 - $4,019	100%
Insight Metro Care	$877	100%
Medicare (plans)	$877	100%
Molina Marketplace Commercial	$877	100%
Priority Health	$1,409	161%
Web Tpa	$2,355	268%
Aetna	$3,590	409%
Alliance Health & Life Ppo	$3,590	409%
Asr Physicians	$3,590	409%
Hap	$3,590	409%
Golden Rule Ins	$3,863	440%
Medica	$3,863	440%
Student Ins/Mega Life	$3,863	440%
UnitedHealthcare	$3,863	440%
Asr Cofinity	$4,474	510%
Cofinity Commercial	$4,474	510%
Cofinity Weyco	$4,474	510%
Core Source	$4,474	510%
Epoch Group	$4,474	510%
Health Partners	$4,474	510%
Hlthcomp Admin	$4,474	510%
Mid America	$4,474	510%

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 $2,143.
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 University of Michigan Health - West 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.