CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Albany Medical Center Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$588

about 0.7× the $877 Medicare rate · typically $334–$1,172

modeled estimate · not a bill or quote

What this hospital charges insurers

$534

About the fair price

about $54 under the fair price · 0.6× Medicare

Medicare pays $877 Fair price $588 This hospital $534 Cash price $1,327 Hospital's list price $2,654

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NY hospitals compared.

Cheapest $493 Priciest $588

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $588 (about 0.7× the $877 Medicare rate). Albany Medical Center Hospital charges insurers about $534, or about $1,327 in cash — about the fair price. Located in Albany, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$110 - $2,442	13%
Blue Cross Blue Shieldmajor	$91 - $2,310	10%
Aetnamajor	$114 - $3,657	13%
Cignamajor	$171 - $1,009	19%
CDPHP	$75 - $2,310	9%
Fidelis Care	$87 - $2,310	10%
MagnaCare	$2,123 - $2,442	242%
MVP Health Care	$110 - $2,289	13%
+ 8 smaller / regional plans	$103 - $2,442

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,327), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Albany Medical Center Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Albany Medical Center Hospital

Compare: Sleep study (overnight, in lab) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.