CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Portsmouth Regional Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,445

about 1.6× the $877 Medicare rate · typically $918–$2,817

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,286

Below the fair price — a good deal

about $159 under the fair price · 1.5× Medicare

Medicare pays $877 Fair price $1,445 This hospital $1,286 Cash price $9,886 Hospital's list price $9,886

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NH hospitals compared.

Cheapest $539 Priciest $2,133

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $1,445 (about 1.6× the $877 Medicare rate). Portsmouth Regional Hospital charges insurers about $1,286, or about $9,886 in cash — below the fair price — a good deal. Located in Portsmouth, NH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$2,541 - $6,525	290%
Blue Cross Blue Shieldmajor	$515 - $4,380	59%
Aetnamajor	$6,258	713%
Cignamajor	$3,598 - $4,162	410%
AmeriHealth	$407	46%
Harvard Pilgrim	$3,222 - $4,244	367%
MVP Health Care	$6,920	789%
Tufts Health Plan	$3,717 - $5,655	424%
+ 6 smaller / regional plans	$809 - $9,392

Excludes 3 rental-network / third-party entries (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 9,886), 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 Portsmouth Regional Hospital 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 Portsmouth Regional Hospital

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

Mary Hitchcock Memorial Hospital · Lebanon $539
Cheshire Medical Center · Keene $548
Northeast Rehabilitation Hospital Network · Salem $862
Wentworth-Douglass Hospital · Dover $1,095
Elliot Hospital · Manchester $1,103
Parkland Medical Center · Derry $1,363
Frisbie Memorial Hospital · Rochester $1,367
Speare Memorial Hospital · Plymouth $2,133

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