CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: University Hospitals Samaritan Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $6,538
  • Cash Discount Price: $5,837
  • vs. Medicare Baseline: 7.45x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at University Hospitals Samaritan Medical Center is $6,538. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,837. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 7.45x the Medicare baseline. Located in 1025 Center St, Ashland, OH.
Cash / Self-Pay
$5,837

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,538

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: $5,837 (665%)
Insurance Median: $6,538 (745%)
Cash: $5,837 (665% of Medicare)
Ins. Median: $6,538 (745% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 745% of the Medicare baseline (a markup of 645%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $904 - $6,678 103%
Blue Cross Blue Shield $904 - $7,028 103%
Cigna $904 - $7,176 103%
Devoted Health $904 103%
Humana $904 103%
Molina $904 103%
Primetime Health Plan $904 103%
Summacare $904 - $7,083 103%
The Health Plan $904 - $6,849 103%
UnitedHealthcare $904 - $7,176 103%
Wellcare By Allwell $904 103%
Paramount $931 106%
Perennial Advantage Of Ohio $949 108%
Valor Health Plans $949 108%
Ambetter / Centene $1,627 185%
Caresource $1,627 185%
Medical Mutual Of Ohio $2,755 - $7,713 314%
University Health Employee Plan (Contigo) $3,113 355%
Amish Aid Community Plan $3,580 408%
Amish Church Fund And Workers Aid Plan $3,580 408%
Buckeye Plain Ministries $3,580 408%
Christian Healthcare Ministries $3,892 444%
Immergrun $3,892 444%
Sunrise Plain Communities $3,892 444%
Medical Mutual Traditional/Health Ohio $5,448 621%
Beech Street $6,226 - $7,005 710%
Ohio Preferred Network $6,226 - $7,005 710%
First Health $6,460 736%
Century Health Network $6,616 754%
Ohio Health Choice $6,616 - $7,005 754%
Private Healthcare System $6,693 763%
Aultcare $7,005 798%
Clarity $7,005 798%
Configurenet $7,005 798%
Fortified Provider Network $7,005 798%
Healthsmart $7,005 798%
Jp Farley $7,005 798%
Multiplan $7,005 798%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals