CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: York General Health Care Services

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$630

about 0.7× the $877 Medicare rate · typically $304–$2,090

modeled estimate · not a bill or quote

What this hospital charges insurers

$471

Below the fair price — a good deal

about $159 under the fair price · 0.5× Medicare

Medicare pays $877 Fair price $630 This hospital $471 Cash price $653 Hospital's list price $653

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

One of the lower prices — 6 of 8 other NE hospitals charge more for the same procedure.

Cheapest $224 Priciest $737

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

A fair price for a Sleep study (overnight, in lab) is about $630 (about 0.7× the $877 Medicare rate). York General Health Care Services charges insurers about $471, or about $653 in cash — below the fair price — a good deal. Located in York, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$328 - $3,856	37%
Blue Cross Blue Shieldmajor	$587 - $3,856	67%
Medica	$132 - $3,856	15%
WellCare	$328 - $2,151	37%
+ 4 smaller / regional plans	$220 - $3,856

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 653), 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 York General Health Care Services 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 York General Health Care Services

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

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