CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Queens Hospital Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,046
Cash Discount Price: $1,209
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Queens Hospital Center is $1,046. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,209. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.19x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.

Cash / Self-Pay

$1,209

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,046

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: $1,209 (138%)

Insurance Median: $1,046 (119%)

Cash: $1,209 (138% of Medicare)

Ins. Median: $1,046 (119% 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	$99 - $2,354	11%
Aetna	$104 - $1,204	12%
Amidacare	$124 - $1,046	14%
Emblem	$124 - $3,775	14%
Wellcare	$134 - $776	15%
Metroplus	$159 - $2,354	18%
Fidelis	$179 - $2,354	20%
Oscar	$186 - $1,806	21%
Magnacare	$320	36%
Oxford	$362 - $410	41%
United	$434 - $1,119	49%
Affinity	$632 - $2,354	72%
Blue Cross Blue Shield	$719 - $4,315	82%
Centerlight	$719 - $2,697	82%
Elderplan	$719 - $3,506	82%
Centers Plan For Healthy Living	$747 - $1,252	85%
Hamaspik	$755	86%
Local 1199	$969 - $4,584	110%
Carelon	$1,046 - $3,506	119%
Senior Whole Health	$1,046	119%
United Behavioral Health	$1,046 - $1,151	119%
Carelon (Amida Care)	$1,067	122%
Vnsny	$1,067 - $4,584	122%
Vaccn	$1,204	137%
Multiplan	$4,315	492%
Villagecare Max	$4,584	522%

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 $1,209.
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 Queens Hospital 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.