CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,113

about 1.3× the $877 Medicare rate · typically $656–$1,750

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,067

About the fair price

about $46 under the fair price · 1.2× Medicare

Medicare pays $877 Fair price $1,113 This hospital $1,067

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $493 Priciest $1,067

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 $1,113 (about 1.3× the $877 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $1,067 — about the fair price. Located in Mount Vernon, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$507 - $1,072	58%
Blue Cross Blue Shieldmajor	$924 - $2,078	105%
Aetnamajor	$1,248 - $1,396	142%
Cignamajor	$5,703 - $6,337	650%
Humanamajor	$1,179	134%
Fidelis Care	$924 - $1,616	105%
Molina	$924 - $2,078	105%
MVP Health Care	$924 - $1,894	105%
SelectHealth	$1,062	121%
WellCare	$933 - $1,093	106%
+ 13 smaller / regional plans	$507 - $1,663

Government programs also on file: Medicaid.

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, 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 Montefiore Mount Vernon 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 Montefiore Mount Vernon Hospital

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

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