CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Inspira Medical Center Mullica Hill

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,088
Cash Discount Price: $10,326
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Inspira Medical Center Mullica Hill is $2,088. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,326. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.38x the Medicare baseline. Located in 501 West Front Street, Elmer, NJ.

Cash / Self-Pay

$10,326

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,088

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: $10,326 (1177%)

Insurance Median: $2,088 (238%)

Cash: $10,326 (1177% of Medicare)

Ins. Median: $2,088 (238% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 238% of the Medicare baseline (a markup of 138%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$966 - $9,833	110%
Braven Health	$966	110%
Clover Health	$966	110%
Horizon Nj Total Care	$966	110%
Medicare (plans)	$966	110%
UnitedHealthcare	$966 - $5,109	110%
Wellcare Dual Liberty	$966	110%
Wellpoint Full Dual Advantage	$966	110%
Healthspring	$995	113%
Humana	$1,014	116%
Jefferson Health Plan	$1,034	118%
Ambetter / Centene	$1,981	226%
Fidelis Care of Nj	$2,088	238%
Horizon Nj Health	$2,112	241%
Wellpoint	$2,131	243%
Amerihealth	$3,939 - $8,628	449%
Blue Cross Blue Shield	$3,939 - $8,628	449%
Oxford Health Plans	$4,742	540%
Cigna	$7,134	813%

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 $10,326.
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 Inspira Medical Center Mullica Hill 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.