CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Fairfield Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,061

about 1.2× the $877 Medicare rate · typically $685–$2,712

modeled estimate · not a bill or quote

What this hospital charges insurers

$745

Below the fair price — a good deal

about $316 under the fair price · 0.8× Medicare

Medicare pays $877 Fair price $1,061 This hospital $745 Cash price $967 Hospital's list price $2,148

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $224 Priciest $745

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $1,061 (about 1.2× the $877 Medicare rate). Fairfield Medical Center charges insurers about $745, or about $967 in cash — below the fair price — a good deal. Located in Lancaster, OH.

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	$326 - $6,178	37%
Blue Cross Blue Shieldmajor	$336 - $26,250	38%
Aetnamajor	$407 - $6,058	46%
Cignamajor	$1,770	202%
Humanamajor	$340 - $6,058	39%
AmeriHealth	$343 - $686	39%
CareSource	$330 - $8,032	38%
Medical Mutual	$407 - $33,500	46%
Molina	$326 - $10,195	37%
Oscar Health	$766 - $6,882	87%
+ 8 smaller / regional plans	$343 - $9,577

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

Excludes 2 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 (about 967), 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 Fairfield Medical Center 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 Fairfield Medical Center

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

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