CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Montefiore St Luke's Cornwall

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,366

about 1.6× the $877 Medicare rate · typically $927–$3,153

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,143

Below the fair price — a good deal

about $223 under the fair price · 1.3× Medicare

Medicare pays $877 Fair price $1,366 This hospital $1,143 Cash price $1,072 Hospital's list price $13,441

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 $1,143

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

A fair price for a Sleep study (overnight, in lab) is about $1,366 (about 1.6× the $877 Medicare rate). Montefiore St Luke's Cornwall charges insurers about $1,143, or about $1,072 in cash — below the fair price — a good deal. Located in Newburgh, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$1,072 - $3,729	122%
Blue Cross Blue Shieldmajor	$707 - $9,540	81%
Aetnamajor	$1,022 - $9,221	116%
Cignamajor	$5,703 - $8,558	650%
Humanamajor	$1,179	134%
CDPHP	$1,072	122%
Fidelis Care	$858 - $1,243	98%
GEHA	$1,143 - $9,221	130%
MagnaCare	$1,320 - $10,081	150%
MVP Health Care	$2,139	244%
Oscar Health	$1,072 - $9,073	122%
WellCare	$1,104	126%
+ 13 smaller / regional plans	$587 - $10,753

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 1,072), 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 Montefiore St Luke's Cornwall 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 Montefiore St Luke's Cornwall

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

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