CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Long Island Community Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $996
  • Cash Discount Price: $2,247
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Long Island Community Hospital is $996. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,247. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.14x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$2,247

Average discount available for prompt cash payment at this facility.

Insurance Median
$996

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: $2,247 (256%)
Insurance Median: $996 (114%)
Cash: $2,247 (256% of Medicare)
Ins. Median: $996 (114% 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
Local 1199 $498 57%
Magellan $648 74%
Multiplan $648 74%
Oscar Health Exchange $677 77%
Coventry $737 84%
Longevity Health $797 91%
Galaxy $897 102%
Aarp $996 114%
Aetna $996 114%
Beacon Health Options $996 114%
Blue Cross Blue Shield $996 - $4,193 114%
Centerlight $996 114%
Cigna $996 114%
Emblem Ghi $996 114%
Fidelis $996 114%
Humana $996 114%
Integra $996 114%
Medicare (plans) $996 114%
UnitedHealthcare $996 114%
Agewell $1,031 118%
Elderplan Inc. $1,096 125%
Wellcare $1,096 125%
Magnacare $3,403 - $5,958 388%
Nexus Nyu $17,284 1970%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals