CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Sanford Wheaton Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,036

about 1.2× the $877 Medicare rate · typically $334–$1,698

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,068

About the fair price

about $32 over the fair price · 1.2× Medicare

Medicare pays $877 Fair price $1,036 This hospital $1,068 Cash price $3,907 Hospital's list price $4,884

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $315 Priciest $1,068

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $1,036 (about 1.2× the $877 Medicare rate). Sanford Wheaton Medical Center charges insurers about $1,068, or about $3,907 in cash — about the fair price. Located in Wheaton, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$2,667 - $4,078	304%
Blue Cross Blue Shieldmajor	$1,182 - $4,519	135%
Aetnamajor	$2,667 - $4,244	304%
Health Net	$4,396	501%
HealthPartners	$2,667 - $3,956	304%
Medica	$4,293 - $4,620	489%
Sanford Health Plan	$2,462 - $4,536	281%
Security Health Plan	$2,686	306%
UCare	$1,068 - $4,291	122%
+ 2 smaller / regional plans	$2,718 - $4,396

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,907), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Sanford Wheaton Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sanford Wheaton Medical Center

Compare: Sleep study (overnight, in lab) at other MN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.