CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Astera Health

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,232
Cash Discount Price: $1,481
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Astera Health is $1,232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,481. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.40x the Medicare baseline. Located in 421 11Th Street Nw, Wadena, MN.

Cash / Self-Pay

$1,481

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,232

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: $1,481 (169%)

Insurance Median: $1,232 (140%)

Cash: $1,481 (169% of Medicare)

Ins. Median: $1,232 (140% 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.

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
Blue Plus Pmap [40002]	$86 - $5,128	10%
Blue Cross Blue Shield	$124 - $5,128	14%
Health Partners [10045]	$124 - $5,128	14%
Medica Nonpmap [10056]	$124 - $309,078	14%
Primewest Non Pmap [30004]	$124 - $5,128	14%
Ucare Non Pmap [30007]	$124 - $5,385	14%
Sanford Health Plan [10120]	$175 - $3,372	20%
Ucare Commercial [10705]	$215 - $2,950	25%
Multiplan	$231 - $3,174	26%
Aetna	$260 - $3,571	30%
Ucare Pmap [30006]	$463 - $1,691	53%
Health Partners Pmap [10046]	$477 - $1,996	54%
Medica Pmap [10057]	$477 - $3,448	54%
Primewest Pmap [30003]	$477 - $3,448	54%
UnitedHealthcare	$826 - $3,067	94%

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 $1,481.
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 Astera Health 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.