CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Fairview Bethesda Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,055
Cash Discount Price: $1,967
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Fairview Bethesda Hospital is $2,055. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,967. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.34x the Medicare baseline. Located in 45 10Th St W, Saint Paul, MN.

Cash / Self-Pay

$1,967

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,055

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: $1,967 (224%)

Insurance Median: $2,055 (234%)

Cash: $1,967 (224% of Medicare)

Ins. Median: $2,055 (234% 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 234% of the Medicare baseline (a markup of 134%). 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
Health Partners	$81 - $3,827	9%
Itasca Medical Care	$81 - $1,013	9%
Primewest	$81 - $1,013	9%
South Country Health Alliance	$81 - $1,013	9%
Ucare	$82 - $2,327	9%
Medica	$86 - $3,553	10%
Hennepin Health	$91 - $1,025	10%
Blue Cross Blue Shield	$92 - $2,896	10%
Sanford Health Plan	$109 - $2,894	12%
Security Health Plan	$109 - $3,686	12%
UnitedHealthcare	$109 - $2,806	12%
Wellcare	$109 - $1,013	12%
America'S Ppo	$2,555 - $3,538	291%
First Health	$4,021 - $4,029	458%
Multiplan	$4,168 - $4,177	475%
Private Healthcare Systems	$4,168 - $4,177	475%
Wisconsin Physician Services	$4,414 - $4,423	503%

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 $1,967.
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 Fairview Bethesda 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.