CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mercy Health Lakeshore Campus

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$281
about 0.3× the $877 Medicare rate · typically $168–$379
modeled estimate · not a bill or quote
What this hospital charges insurers
$430
Above the fair price
about $149 over the fair price · 0.5× Medicare
Medicare pays $877 Fair price $281 This hospital $430 Hospital's list price $1,307

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 1 charge more and 5 charge less, among the 9 MI hospitals compared.

Cheapest $213 Priciest $449

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $281 (about 0.3× the $877 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $430 — above the fair price. Located in Shelby, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $281. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $79 - $3,890 9%
Blue Cross Blue Shieldmajor $76 - $3,694 9%
Aetnamajor $76 - $3,440 9%
Cignamajor $76 - $3,751 9%
Humanamajor $76 - $3,868 9%
Kaiser Permanentemajor $3,694 421%
Ambetter (Centene) $76 - $430 9%
AmeriHealth $155 - $3,868 18%
CareSource $3,856 440%
Clover Health $115 - $612 13%
Dean Health Plan $158 - $3,717 18%
GEHA $146 - $3,890 17%
Health Net $76 - $895 9%
HealthPartners $76 - $675 9%
MagnaCare $155 - $1,365 18%
Medical Mutual $155 - $3,868 18%
Meridian $76 - $612 9%
Molina $76 - $1,798 9%
MVP Health Care $158 - $3,717 18%
Oscar Health $158 - $1,328 18%
Paramount $76 - $3,717 9%
Presbyterian $76 - $612 9%
Priority Health $168 - $3,895 19%
Tufts Health Plan $76 - $675 9%
UniCare $155 - $3,868 18%
WellMed $115 - $612 13%
WellSense $76 - $430 9%
+ 427 smaller / regional plans $76 - $3,968
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals