CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,662
Cash Discount Price: Unavailable
vs. Medicare Baseline: 3.03x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Intermountain Health St Vincent Regional Hospital is $2,662. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.03x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,662

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%)

Insurance Median: $2,662 (303%)

Ins. Median: $2,662 (303% 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 303% of the Medicare baseline (a markup of 203%). 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
Medicare (plans)	$1,017	116%
UnitedHealthcare	$1,038 - $3,274	118%
Exchange Other	$1,162 - $2,338	132%
Mt Health Co-Op	$1,162 - $2,338	132%
Blue Cross Blue Shield	$1,257 - $3,728	143%
First Choice Health	$1,302 - $3,180	148%
Other	$1,302 - $3,180	148%
Allegiance	$1,471 - $3,202	168%
Cigna	$1,471 - $3,202	168%
Ebms-Employee Benefit Mng	$1,492 - $3,058	170%
Meritain Health	$1,492 - $2,662	170%
Pacificsource	$1,624 - $3,227	185%
Sibanye Stillwater Health Partners	$1,933	220%
Coastal Administrative Services	$2,035	232%
Aetna	$2,267	258%
Pacific Steel And Recycling	$2,543	290%
Preferred One	$3,058 - $3,310	349%
Interwest	$3,202	365%
Private Hlthcare Sys	$3,238	369%
Geha	$3,274	373%

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 $X.
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 Intermountain Health St Vincent Regional 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.