CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Alta Vista Regional Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,894
Cash Discount Price: $2,148
vs. Medicare Baseline: 3.30x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Alta Vista Regional Hospital is $2,894. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,148. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.30x the Medicare baseline. Located in 104 Legion Drive, Las Vegas, NM.

Cash / Self-Pay

$2,148

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,894

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: $2,148 (245%)

Insurance Median: $2,894 (330%)

Cash: $2,148 (245% of Medicare)

Ins. Median: $2,894 (330% 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 330% of the Medicare baseline (a markup of 230%). 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
Medicare (plans)	$601 - $4,295	69%
UnitedHealthcare	$601 - $687	69%
Champus	$687 - $4,295	78%
Mcare Mcaid Hmo Dual	$687	78%
Commercial Hmo Ppo	$755 - $4,295	86%
Medicaid / KanCare	$809 - $4,295	92%
Php Centennial	$809	92%
Workers Comp	$1,761 - $4,295	201%
Self Pay	$2,148	245%
Other Covernment	$2,684 - $4,295	306%
Blue Cross Blue Shield	$3,221 - $4,295	367%
Mva	$4,295	490%
Other Government	$4,295	490%

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 $2,148.
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 Alta Vista Regional 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.