CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Jefferson Stratford Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,294
Cash Discount Price: $1,111
vs. Medicare Baseline: 2.61x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Jefferson Stratford Hospital is $2,294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,111. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.61x the Medicare baseline. Located in 18 East Laurel Road, Stratford, NJ.

Cash / Self-Pay

$1,111

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,294

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: $1,111 (127%)

Insurance Median: $2,294 (261%)

Cash: $1,111 (127% of Medicare)

Ins. Median: $2,294 (261% 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 261% of the Medicare baseline (a markup of 161%). 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
PA Health_Wellness Chc	$351 - $451	40%
Cigna	$1,092 - $1,311	124%
Horizon Nj Health Nj	$1,716	196%
Aetna	$2,294	261%
Jeff Nj Amerihealth_Ibc	$2,538 - $2,592	289%
UnitedHealthcare	$2,797	319%
Qualcare Jnj	$6,522 - $6,957	743%

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 $1,111.
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 Jefferson Stratford 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.