CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Fisher-Titus Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $4,105
Cash Discount Price: $5,301
vs. Medicare Baseline: 4.68x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Fisher-Titus Hospital is $4,105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,301. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.68x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$5,301

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,105

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: $5,301 (604%)

Insurance Median: $4,105 (468%)

Cash: $5,301 (604% of Medicare)

Ins. Median: $4,105 (468% 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 468% of the Medicare baseline (a markup of 368%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Perennial Advantage	$110 - $1,002	13%
UnitedHealthcare	$110 - $5,360	13%
Sidecar	$113 - $4,088	13%
Blue Cross Blue Shield	$434 - $5,360	49%
Caresource	$434 - $954	49%
Amerihealth	$447	51%
Buckeye	$447 - $954	51%
Molina	$447	51%
Aetna	$954 - $5,124	109%
Medical Mutual Of Ohio	$954 - $3,422	109%
Paramount	$954 - $5,301	109%
Summacare	$954 - $5,183	109%
Wellcare	$954	109%
Zing Health	$954	109%
Valor Health	$983	112%
Health Ohio Network	$4,123	470%
Tricare	$4,418 - $4,712	504%
Cigna	$4,712	537%
Claimsdoc	$4,712	537%
First Health	$5,301	604%
Multiplan	$5,301	604%
Ohio Health Choice	$5,301	604%
Healthscope	$5,360	611%
Emerald Health	$5,713	651%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $5,301.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 95810.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fisher-Titus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 95810.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.