CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: St Joseph's University Medical Center Inc

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $943
  • Cash Discount Price: $8,569
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at St Joseph's University Medical Center Inc is $943. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,569. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.07x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$8,569

Average discount available for prompt cash payment at this facility.

Insurance Median
$943

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: $8,569 (977%)
Insurance Median: $943 (107%)
Cash: $8,569 (977% of Medicare)
Ins. Median: $943 (107% 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.

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
Fidelis Care of New Jersey $98 - $1,715 11%
UnitedHealthcare $98 - $4,567 11%
Aetna $130 - $4,776 15%
Ambetter / Centene $130 - $1,530 15%
Amerihealth $130 - $5,456 15%
Clover Health $130 - $1,020 15%
Horizon New Jersey Total Care $130 - $1,020 15%
Wellpoint $130 - $1,683 15%
Blue Cross Blue Shield $138 - $2,905 16%
Multiplan $196 - $6,427 22%
Private Healthcare Systems $260 - $5,570 30%
Horizon New Jersey Health $340 - $3,100 39%
Cigna $401 - $8,569 46%
Consumer Health Network $736 - $7,712 84%
Longevity Health Plan $1,173 134%
Oxford $4,206 479%
Magnacare $5,998 684%
Oscar $8,072 920%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals