CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mary Free Bed Rehabilitation Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,970
Cash Discount Price: $3,929
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mary Free Bed Rehabilitation Hospital is $2,970. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,929. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.39x the Medicare baseline. Located in 235 Wealthy St Se, Grand Rapids, MI.

Cash / Self-Pay

$3,929

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,970

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: $3,929 (448%)

Insurance Median: $2,970 (339%)

Cash: $3,929 (448% of Medicare)

Ins. Median: $2,970 (339% 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 339% of the Medicare baseline (a markup of 239%). 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
Mclaren_Health_Plan_Inc	$2,481	283%
Aetna	$2,731 - $2,970	311%
University_Of_Michigan_Health_Plan	$3,065	349%
Blue_Cross_Blue_Shield_Of_Michigan	$3,458	394%
Multiplan	$3,536 - $3,634	403%
Three_Rivers_Provider_Network_Trpn	$3,615	412%
Cigna	$3,654 - $3,760	416%

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 $3,929.
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 Mary Free Bed Rehabilitation Hospital 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.