CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Kenmore Mercy Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$433

about 0.5× the $877 Medicare rate · typically $226–$651

modeled estimate · not a bill or quote

What this hospital charges insurers

$505

Above the fair price

about $72 over the fair price · 0.6× Medicare

Medicare pays $877 Fair price $433 This hospital $505 Cash price $1,153 Hospital's list price $1,153

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

One of the lower prices — 5 of 8 other NY hospitals charge more for the same procedure.

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 $433 (about 0.5× the $877 Medicare rate). Kenmore Mercy Hospital charges insurers about $505, or about $1,153 in cash — above the fair price. Located in Kenmore, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $433. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$79 - $653	9%
Blue Cross Blue Shieldmajor	$107 - $865	12%
Aetnamajor	$119 - $624	14%
Cignamajor	$113 - $861	13%
Humanamajor	$119 - $624	14%
Amerigroup	$175 - $865	20%
Fidelis Care	$119 - $713	14%
Independent Health	$128 - $2,091	15%
Molina	$288 - $1,472	33%
MVP Health Care	$152 - $738	17%
UPMC Health Plan	$204 - $1,069	23%
WellCare	$119 - $653	14%
+ 16 smaller / regional plans	$98 - $1,860

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 1,153), 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 Kenmore Mercy 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 Kenmore Mercy Hospital

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

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