CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Maimonides Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $130
Cash Discount Price: $1,065
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Maimonides Medical Center is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,065. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.15x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.

Cash / Self-Pay

$1,065

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $1,065 (121%)

Insurance Median: $130 (15%)

Cash: $1,065 (121% of Medicare)

Ins. Median: $130 (15% 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
Healthfirst	$76 - $1,051	9%
UnitedHealthcare	$79 - $240	9%
Aetna	$98 - $2,318	11%
Blue Cross Blue Shield	$98 - $2,163	11%
Healthfirst Early Start	$100 - $128	11%
Emblem Health - Hip	$101 - $196	12%
Oxford Liberty	$102 - $170	12%
Visiting Nurse Svc Of Ny	$107 - $119	12%
Wellcare	$123 - $128	14%
Fidelis	$124 - $134	14%
Metroplus	$124 - $1,286	14%
Centers Plan For Healthy Living	$126	14%
Elderplan	$126 - $201	14%
Molina	$126 - $288	14%
Emblem Health - Hip Vip	$127	14%
Oxford Health Plan	$181 - $201	21%
Emblem Health - Ghi	$183 - $3,259	21%
Local 1199	$197 - $2,692	22%
Centivo	$227	26%
United Community Plan	$1,179	134%

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 $1,065.
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 Maimonides Medical Center 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.