CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mountainview Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,140
Cash Discount Price: $9,418
vs. Medicare Baseline: 3.58x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mountainview Hospital is $3,140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,418. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.58x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.

Cash / Self-Pay

$9,418

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,140

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: $9,418 (1073%)

Insurance Median: $3,140 (358%)

Cash: $9,418 (1073% of Medicare)

Ins. Median: $3,140 (358% 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 358% of the Medicare baseline (a markup of 258%). 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
United	$469 - $3,503	53%
Ambetter / Centene	$581 - $1,978	66%
Corvel	$742	85%
Olympus Medsave Usa	$781 - $7,064	89%
Aetna	$1,071	122%
Select Health	$2,034 - $2,171	232%
Cigna	$2,110	240%
Sierra	$2,541	290%
Prominence Healthfirst	$2,825	322%
Health Services Coalition	$2,928 - $3,586	334%
Blue Cross Blue Shield	$3,140 - $3,925	358%
Hometown Health Providers	$3,740 - $7,294	426%
Cmn Global	$3,956	451%
Emerging Therapy Solutions	$4,615 - $6,310	526%
Nv Health & Welfare Trust	$5,651	644%
Multiplan	$5,933 - $6,875	676%
First Health	$6,216 - $7,534	709%
Medcare International	$7,064	805%

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 $9,418.
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 Mountainview 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.