CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Sunrise Hospital and Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $502
Cash Discount Price: $1,861
vs. Medicare Baseline: 0.57x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Sunrise Hospital and Medical Center is $502. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,861. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.57x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$1,861

Average discount available for prompt cash payment at this facility.

Insurance Median

$502

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: $1,861 (212%)

Insurance Median: $502 (57%)

Cash: $1,861 (212% of Medicare)

Ins. Median: $502 (57% 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
Amerigroup	$79 - $553	9%
Health Plan Nevada	$79 - $581	9%
Humana	$83 - $907	9%
Molina	$83 - $610	9%
Silver Summit	$83 - $759	9%
Healthcare Partners Of Nv	$110 - $808	13%
Aetna	$112 - $1,061	13%
Alignment Health Plan	$112 - $607	13%
Blue Cross Blue Shield	$112 - $3,925	13%
United	$115 - $3,503	13%
Caremore	$117 - $638	13%
Hometown Health Providers	$129 - $7,294	15%
Sierra	$145 - $2,537	17%
Cigna	$146 - $1,249	17%
Multiplan	$150 - $808	17%
Culinary Health Fund	$168 - $911	19%
Select Health	$224 - $1,386	26%
Community Care Health	$553	63%
Molina Healthcare	$553 - $575	63%
Sierra Hpn	$553	63%
Ambetter / Centene	$581	66%
Legacy Provider Network	$664	76%
Corvel	$701 - $742	80%
Comp-Med Workers Comp	$716	82%
Olympus Medsave Usa	$738 - $781	84%
Health Services Coalition	$2,815 - $3,586	321%

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 $1,861.
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 Sunrise Hospital and Medical Center 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.