CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Essentia Health Sandstone

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,017

about 1.2× the $877 Medicare rate · typically $323–$1,892

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,013

About the fair price

about $4 under the fair price · 1.2× Medicare

Medicare pays $877 Fair price $1,017 This hospital $1,013 Cash price $3,558 Hospital's list price $4,814

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 $1,013

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 $1,017 (about 1.2× the $877 Medicare rate). Essentia Health Sandstone charges insurers about $1,013, or about $3,558 in cash — about the fair price. Located in Sandstone, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$2,263 - $4,382	258%
Blue Cross Blue Shieldmajor	$1,848 - $3,866	211%
Aetnamajor	$4,092	466%
Cignamajor	$3,755	428%
HealthPartners	$1,935 - $3,755	221%
Medica	$1,916 - $3,943	218%
Sanford Health Plan	$2,065 - $2,174	235%
Security Health Plan	$2,263 - $4,814	258%
UCare	$2,263 - $3,168	258%
+ 12 smaller / regional plans	$1,008 - $3,707

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (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 3,558), 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 Essentia Health Sandstone 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 Essentia Health Sandstone

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

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