CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: UNM Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $795
Cash Discount Price: $1,162
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at UNM Hospital is $795. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,162. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.91x the Medicare baseline. Located in 2211 Lomas Boulevard Ne, Albuquerque, NM.

Cash / Self-Pay

$1,162

Average discount available for prompt cash payment at this facility.

Insurance Median

$795

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: $1,162 (132%)

Insurance Median: $795 (91%)

Cash: $1,162 (132% of Medicare)

Ins. Median: $795 (91% 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.

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
Humana	$305 - $761	35%
Aetna	$338 - $846	39%
Alamo Navajo School Board	$338 - $846	39%
Blue Cross Blue Shield	$338 - $846	39%
Indian Health Abq	$338 - $846	39%
Kewa Pueblo Health Corporation	$338 - $846	39%
Pueblo Of Isleta	$338 - $846	39%
Pueblo Of Jemez	$338 - $846	39%
Pueblo Of Sandia	$338 - $846	39%
UnitedHealthcare	$338 - $846	39%
Devoted Health	$406 - $1,015	46%
Christus	$508 - $1,269	58%
Albuquerque Public Schools	$677 - $1,692	77%
Presbyterian Network	$677 - $1,692	77%
Christus Health Exchange Plan	$761 - $1,903	87%
Imperial Health Exchange	$829 - $2,073	94%
Molina	$829 - $2,073	94%

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 $1,162.
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 UNM 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.