CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Chsli St Joseph Hospital
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $1,650
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Chsli St Joseph Hospital is $1,650. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.88x the Medicare baseline. Located in 4295 Hempstead Turnpike, Bethpage, NY.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,650
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%)
Insurance Median: $1,650 (188%)
Ins. Median: $1,650 (188% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Local 1199 | $772 | 88% |
| Zadroga | $1,064 | 121% |
| Affinity Health Plan | $1,100 - $2,475 | 125% |
| Centerlight Healthcare | $1,100 - $1,204 | 125% |
| Elderplan Inc. | $1,100 - $1,204 | 125% |
| Emblem Health | $1,100 - $6,020 | 125% |
| Fidelis Care New York | $1,100 - $2,475 | 125% |
| Health First | $1,100 - $2,709 | 125% |
| Health Plus | $1,100 - $2,475 | 125% |
| Independent Health | $1,100 - $1,204 | 125% |
| Medicaid / KanCare | $1,100 | 125% |
| Mvp Health Plans | $1,100 - $5,672 | 125% |
| Senior Whole Health | $1,100 - $1,204 | 125% |
| UnitedHealthcare | $1,100 - $3,845 | 125% |
| Blue Cross Blue Shield | $1,180 - $1,864 | 134% |
| Aetna | $1,204 - $7,090 | 137% |
| Centers Plan For Healthy Living | $1,204 | 137% |
| Healthspring | $1,204 | 137% |
| Liberty Health | $1,204 | 137% |
| Longevity Health Plan | $1,204 | 137% |
| Medicare (plans) | $1,204 - $1,264 | 137% |
| Orthonet - Uniformed Services Family Health Plan | $1,204 | 137% |
| Pmc | $1,204 | 137% |
| Tricare | $1,204 | 137% |
| Universal Healthcare | $1,204 | 137% |
| Us Family Health Plan | $1,204 | 137% |
| Veterans Affairs | $1,204 | 137% |
| Humana | $1,228 | 140% |
| Agewell New York | $1,246 | 142% |
| Partners Health Plan | $1,264 | 144% |
| Wellcare Health Plan Inc | $1,324 | 151% |
| Self Pay | $1,864 | 212% |
| Brighton | $3,511 - $4,763 | 400% |
| Surest | $3,845 | 438% |
| Centivo | $5,425 - $5,672 | 618% |
| Apwu | $5,672 | 646% |
| Cigna | $5,672 - $9,217 | 646% |
| Daniel H Cook | $5,672 | 646% |
| Nalc | $5,672 | 646% |
| Samba | $5,672 | 646% |
| Oscar Health | $5,814 | 663% |
| American Plan Administrators | $6,020 | 686% |
| Amerihealth Administrators | $6,020 | 686% |
| Benefit Services | $6,020 | 686% |
| Ghi Cbp Ny City Employee Alternate | $6,020 | 686% |
| International Benefit Administrator | $6,020 | 686% |
| Ultra Benefits Inc. | $6,020 | 686% |
| Mail Handlers Benefit Plan | $7,090 | 808% |
| Meritain Health | $7,090 | 808% |
| Nippon Life Insurance Company Of America | $7,090 | 808% |
| Salvation Army | $7,090 | 808% |
| Allied Wellfare Fund | $9,217 | 1051% |
| American Group Administrators | $9,217 | 1051% |
| Bakery & Confectionery Union | $9,217 | 1051% |
| Comprehensive Benefits Consultant | $9,217 | 1051% |
| Guardian Life Insurance Company Of America | $9,217 | 1051% |
| Maloney And Assoc | $9,217 | 1051% |
| Multiplan | $9,217 | 1051% |
| Performax | $9,217 | 1051% |
| Phcs | $9,217 | 1051% |
| Pomco | $9,217 | 1051% |
| Tpa Inc | $9,217 | 1051% |
| Unicare | $9,217 | 1051% |
| United Employees Health Plan | $9,217 | 1051% |
| Galaxy | $12,762 | 1455% |
| Three Rivers Provider Network | $12,762 | 1455% |
| Aither Health | $14,180 | 1616% |
| Alpha Care | $14,180 | 1616% |
| Dentaquest | $14,180 | 1616% |