CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: F F Thompson Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $495
Cash Discount Price: $1,121
vs. Medicare Baseline: 0.56x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at F F Thompson Hospital is $495. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,121. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.56x the Medicare baseline. Located in 350 Parrish Street, Canandaigua, NY.

Cash / Self-Pay

$1,121

Average discount available for prompt cash payment at this facility.

Insurance Median

$495

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: $1,121 (128%)

Insurance Median: $495 (56%)

Cash: $1,121 (128% of Medicare)

Ins. Median: $495 (56% 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
UnitedHealthcare	$77 - $1,072	9%
Blue Cross Blue Shield	$85 - $2,970	10%
Medicaid / KanCare	$87 - $1,472	10%
Aetna	$94 - $1,072	11%
Excellus 2201	$94 - $580	11%
Medicare (plans)	$94 - $1,179	11%
Mvp 2900	$106 - $2,350	12%
Fidelis 5155	$130 - $707	15%
Independent Health 5156	$144 - $895	16%
Cigna	$146 - $2,506	17%
Capital District Physicians Health Plan (Cdphp) 5149	$291 - $1,481	33%
Elderplan 1316	$1,072	122%
Humana	$1,072	122%

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 $1,121.
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 F F Thompson 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.