CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Saratoga Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $643
  • Cash Discount Price: $733
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Saratoga Hospital is $643. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $733. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.73x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$733

Average discount available for prompt cash payment at this facility.

Insurance Median
$643

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: $733 (84%)
Insurance Median: $643 (73%)
Cash: $733 (84% of Medicare)
Ins. Median: $643 (73% 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
Aetna $121 - $1,918 14%
Blue Cross Blue Shield $360 - $1,904 41%
Blue Shield $374 - $1,837 43%
Cdphp $394 - $2,316 45%
Fidelis $435 - $2,316 50%
Medicare (plans) $435 - $580 50%
Mvp $534 - $1,009 61%
Hamaspik $542 - $2,419 62%
UnitedHealthcare $558 - $2,732 64%
Tricare $563 - $580 64%
Emblem Health Ghi $580 - $638 66%
Medicaid / KanCare $654 75%
Blue Shield Highmark $662 - $1,670 75%
Empire Plan Nyship $676 - $1,821 77%
Mvp Commercial $789 - $2,276 90%
Cigna $834 - $1,009 95%
Multiplan $845 - $2,580 96%
Nascentia Health Options $906 103%
Emblem $932 - $1,204 106%
Magnacare $1,014 - $2,883 116%
Mvp Essential Plan $1,029 - $2,058 117%
Mvp Govt Programs $1,029 117%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals