CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Ocean Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,249

about 1.4× the $877 Medicare rate · typically $998–$2,096

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,066

Below the fair price — a good deal

about $183 under the fair price · 1.2× Medicare

Medicare pays $877 Fair price $1,249 This hospital $1,066 Cash price $1,065 Hospital's list price $8,665

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $784 Priciest $1,112

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

A fair price for a Sleep study (overnight, in lab) is about $1,249 (about 1.4× the $877 Medicare rate). Ocean Medical Center charges insurers about $1,066, or about $1,065 in cash — below the fair price — a good deal. Located in Brick, NJ.

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	$1,068 - $9,003	122%
Blue Cross Blue Shieldmajor	$104 - $1,112	12%
Aetnamajor	$1,017 - $7,336	116%
Cignamajor	$4,159 - $8,617	474%
Amerigroup	$1,813	207%
AmeriHealth	$5,782 - $8,226	659%
Clover Health	$1,497 - $1,622	171%
WellCare	$1,017 - $1,112	116%
+ 10 smaller / regional plans	$181 - $8,110

Government programs also on file: Military & VA.

Excludes 2 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 1,065), 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 Ocean Medical Center 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 Ocean Medical Center

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

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