CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Columbia Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $692
Cash Discount Price: $1,550
vs. Medicare Baseline: 0.79x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Columbia Memorial Hospital is $692. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,550. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.79x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$1,550

Average discount available for prompt cash payment at this facility.

Insurance Median

$692

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: $1,550 (177%)

Insurance Median: $692 (79%)

Cash: $1,550 (177% of Medicare)

Ins. Median: $692 (79% 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	$268 - $803	31%
Blue Cross Blue Shield	$385 - $1,899	44%
Cdphp	$465 - $2,310	53%
Mvp	$469 - $2,156	53%
Medicare (plans)	$502 - $669	57%
Hamaspik	$626 - $1,637	71%
Fidelis	$636 - $2,310	72%
Blue Shield Highmark	$642 - $692	73%
Tricare	$651 - $669	74%
Medicaid / KanCare	$654 - $1,027	75%
Aetna	$689 - $1,240	79%
Cigna	$807 - $833	92%
Empire Plan Nyship	$837	95%
Emblem Health Ghi	$917	105%
Blue Shield	$1,750 - $1,795	199%
Herrington Diversified Pdh	$1,806	206%
Mvp Commercial	$1,981	226%

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 $1,550.
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 Columbia Memorial 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.