CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $856
  • Cash Discount Price: $4,814
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Munson Healthcare Manistee Hospital is $856. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,814. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$4,814

Average discount available for prompt cash payment at this facility.

Insurance Median
$856

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: $4,814 (549%)
Insurance Median: $856 (98%)
Cash: $4,814 (549% of Medicare)
Ins. Median: $856 (98% 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 - $4,807 8%
Meridian $74 - $448 8%
Molina $74 - $924 8%
Priority Health $74 - $1,661 8%
UnitedHealthcare $74 - $5,768 8%
Blue Cross Blue Shield $75 - $3,215 9%
Aetna $117 - $5,537 13%
Hap (Health Alliance Plan) $117 - $5,127 13%
Humana $117 - $856 13%
Medicare (plans) $117 - $856 13%
Michigan Amish Medical Board $117 - $856 13%
Northern Michigan Mennonite Group $117 - $856 13%
Prime Health Services $117 - $5,896 13%
Wellcare Meridian $117 - $856 13%
Cofinity $146 - $5,640 17%
Cigna $159 - $1,661 18%
Provider Network Of America $164 - $5,448 19%
Asr/Physicians Care $176 - $5,127 20%
Nomi Health $187 - $5,127 21%
Employee Benefits Logistics $199 - $1,455 23%
Munson Hospice $852 - $4,486 97%
Hospice Of Michigan $2,951 - $3,845 336%
Enterprise Group Planning/Employee Benefits Plan $3,935 - $5,127 449%
Medical Cost Savings Solution $3,935 - $5,127 449%
Three Rivers Provider Network $4,181 - $5,448 477%
Multiplan $4,329 - $5,640 493%
Great West Healthcare $4,427 - $5,768 505%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals