CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: NYU Langone Hospitals

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,656
Cash Discount Price: $2,127
vs. Medicare Baseline: 3.03x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at NYU Langone Hospitals is $2,656. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,127. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.03x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$2,127

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,656

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: $2,127 (242%)

Insurance Median: $2,656 (303%)

Cash: $2,127 (242% of Medicare)

Ins. Median: $2,656 (303% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 303% of the Medicare baseline (a markup of 203%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Fidelis	$539 - $2,431	61%
Healthfirst	$539 - $2,431	61%
Healthplus	$539 - $2,431	61%
Amida	$599	68%
1199	$772	88%
Hip	$1,037 - $10,889	118%
Medicaid / KanCare	$1,037 - $1,081	118%
Metroplus	$1,037 - $2,431	118%
UnitedHealthcare	$1,037 - $11,357	118%
Somos	$1,088 - $1,459	124%
Ghi	$1,204 - $10,889	137%
Medicare (plans)	$1,204	137%
Wellcare	$1,204	137%
Centerlight	$1,228	140%
Hamaspik	$1,806	206%
Aetna	$2,043 - $17,284	233%
Magnacare	$2,553 - $8,642	291%
Blue Cross Blue Shield	$2,656 - $11,234	303%
Cigna	$3,064 - $10,370	349%
Multiplan	$3,983 - $13,481	454%
Oscar	$4,256	485%
Oxford	$5,308 - $9,747	605%

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 $2,127.
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 NYU Langone Hospitals 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.