CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: St Catherine of Siena Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,192

about 1.4× the $877 Medicare rate · typically $589–$1,333

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,204

About the fair price

about $12 over the fair price · 1.4× Medicare

Medicare pays $877 Fair price $1,192 This hospital $1,204 Hospital's list price $13,929

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 $1,204

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 $1,192 (about 1.4× the $877 Medicare rate). St Catherine of Siena Hospital charges insurers about $1,204 — about the fair price. Located in Smithtown, 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	$1,100 - $9,054	125%
Blue Cross Blue Shieldmajor	$1,180 - $1,864	134%
Aetnamajor	$1,204 - $11,143	137%
Cignamajor	$5,572 - $9,054	635%
Humanamajor	$1,228	140%
AmeriHealth	$6,020	686%
Cigna HealthSpring	$1,204	137%
Fidelis Care	$1,100 - $2,475	125%
Independent Health	$1,100 - $1,204	125%
MVP Health Care	$1,100 - $5,572	125%
Oscar Health	$5,711	651%
UniCare	$9,054	1032%
WellCare	$1,324	151%
+ 44 smaller / regional plans	$1,064 - $13,929

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (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, 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 St Catherine of Siena Hospital 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 St Catherine of Siena Hospital

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

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