CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: St James Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$509
about 0.6× the $877 Medicare rate · typically $366–$1,122
modeled estimate · not a bill or quote
What this hospital charges insurers
$517
About the fair price
about $8 over the fair price · 0.6× Medicare
Medicare pays $877 Fair price $509 This hospital $517

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NY hospitals compared.

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 $509 (about 0.6× the $877 Medicare rate). St James Hospital charges insurers about $517 — about the fair price. Located in Hornell, 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 $102 - $1,148 12%
Blue Cross Blue Shieldmajor $85 - $2,567 10%
Aetnamajor $96 - $1,148 11%
Cignamajor $146 - $2,582 17%
Humanamajor $1,148 131%
CDPHP $291 - $1,481 33%
Fidelis Care $86 - $505 10%
MVP Health Care $106 - $2,492 12%
+ 1 smaller / regional plan $2,422
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals