CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $793
Cash Discount Price: $416
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mary Hitchcock Memorial Hospital is $793. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $416. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.90x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$416

Average discount available for prompt cash payment at this facility.

Insurance Median

$793

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: $416 (47%)

Insurance Median: $793 (90%)

Cash: $416 (47% of Medicare)

Ins. Median: $793 (90% 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 Cross Blue Shield	$113 - $4,430	13%
Martin'S Point Generations Advantage	$113 - $1,139	13%
Mvp	$113 - $1,609	13%
UnitedHealthcare	$113 - $1,903	13%
Aetna	$116 - $1,925	13%
Cigna	$116 - $1,910	13%
Martin'S Point Health Care	$116 - $1,139	13%
Wellsense Health Plan	$116 - $1,195	13%
Wellcare Health Plans	$117 - $1,184	13%
Ambetter / Centene	$119 - $2,449	14%
Beacon Health Strategies/Carelon	$138 - $517	16%
Harvard Pilgrim Health Care Of Ne	$141 - $4,392	16%
Amerihealth Caritas Nh	$142 - $517	16%
Granite State Health Plan	$142 - $517	16%
Mass General Brigham Health Plan	$323 - $1,423	37%
Tufts Health Plan	$363 - $2,255	41%
Maine Community Health Options	$866 - $1,000	99%
Coventry	$1,183	135%
First Health/Hcvm	$1,183	135%
Phcs	$1,224	140%
Corvel	$1,251	143%
Ccmsi	$1,292	147%

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 $416.
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 Mary Hitchcock Memorial 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.