CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Samaritan Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$786

about 0.9× the $877 Medicare rate · typically $595–$1,145

modeled estimate · not a bill or quote

What this hospital charges insurers

$642

Below the fair price — a good deal

about $144 under the fair price · 0.7× Medicare

Medicare pays $877 Fair price $786 This hospital $642 Cash price $4,706 Hospital's list price $4,706

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $493 Priciest $642

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $786 (about 0.9× the $877 Medicare rate). Samaritan Medical Center charges insurers about $642, or about $4,706 in cash — below the fair price — a good deal. Located in Watertown, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$1,104 - $4,000	126%
Blue Cross Blue Shieldmajor	$729 - $4,920	83%
Aetnamajor	$1,093 - $4,000	125%
CDPHP	$1,072 - $3,765	122%
Fidelis Care	$117 - $1,233	13%
MVP Health Care	$1,126 - $3,577	128%
WellCare	$117 - $1,072	13%
+ 2 smaller / regional plans	$111 - $3,906

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 4,706), 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 Samaritan Medical Center 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 Samaritan Medical Center

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

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