CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Union Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $769
  • Cash Discount Price: $4,196
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Union Hospital is $769. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,196. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$4,196

Average discount available for prompt cash payment at this facility.

Insurance Median
$769

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: $4,196 (478%)
Insurance Median: $769 (88%)
Cash: $4,196 (478% of Medicare)
Ins. Median: $769 (88% 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.

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
Summacare $71 - $5,272 8%
Aetna $110 - $7,532 13%
Blue Cross Blue Shield $110 - $3,440 13%
Cigna $110 - $2,905 13%
Humana $110 - $940 13%
The Health Plan $110 - $5,552 13%
United $110 - $3,189 13%
Valor $110 - $940 13%
Mmo $113 - $5,272 13%
Aultcare $115 - $2,905 13%
Communicare $115 - $987 13%
Perennial Health $119 - $1,015 14%
Pphp $119 - $1,034 14%
Zing Health $121 - $1,034 14%
Cc Ehp $123 - $4,816 14%
Oscar $287 - $2,482 33%
Buckeye $360 - $617 41%
Molina $360 - $648 41%
Caresource $378 - $617 43%
Amerihealth $396 - $678 45%
Ohcp $419 - $3,138 48%
Omas $538 - $3,766 61%
Healthsmart $592 - $4,143 67%
Phphi $646 - $4,519 74%
Upmc $646 - $4,519 74%
Gms $753 - $5,272 86%
Consociate Health $807 - $5,649 92%
UnitedHealthcare $904 - $940 103%
Devoted Health $940 107%
Multiplan $968 - $6,779 110%
Amish Community Aid Plan $2,905 - $3,228 331%
Ohio Healthy $3,486 397%
Php $3,874 442%
Medical Benefit Corp $4,519 515%
Frontpath $5,810 662%
Managed Care Services $5,810 662%
Tertiary Care Network $5,810 662%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals