CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Arnot Ogden Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,009
  • Cash Discount Price: $3,106
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Arnot Ogden Medical Center is $1,009. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,106. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.15x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.
Cash / Self-Pay
$3,106

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,009

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: $3,106 (354%)
Insurance Median: $1,009 (115%)
Cash: $3,106 (354% of Medicare)
Ins. Median: $1,009 (115% 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.

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
Empire $99 - $642 11%
Amerihealth $270 - $347 31%
Blue Cross Blue Shield $849 - $15,576 97%
Aetna $877 - $4,043 100%
Geisinger $895 - $3,137 102%
Fidelis $934 - $965 106%
Icircle $934 106%
UnitedHealthcare $934 - $3,881 106%
Humana $1,004 - $4,852 114%
Tricare $1,004 114%
Amerihealth Mcr Adv - All Plans $1,014 116%
Fidelis Care-Exchange - All Plans $2,824 322%
Geisinger - All Plans $2,988 341%
Cigna $3,199 365%
Mvp Health Plan - All Plans $3,199 365%
Independent Health - All Plans $3,337 380%
Upmc Health Plan - All Plans $3,543 404%
Pomco Inc - All Plans $3,697 421%
Emblem Health - All Plans $4,518 515%
Emblem/Ghi $4,744 541%
Martins Point Mcr Adv - All Plans $5,134 585%
Healthnow - All Plans $15,468 1763%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Roe Avenue, Elmira, NY 14905
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals