CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Cleveland Clinic

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $970
  • Cash Discount Price: $4,196
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Cleveland Clinic is $970. 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 1.11x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$4,196

Average discount available for prompt cash payment at this facility.

Insurance Median
$970

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: $970 (111%)
Cash: $4,196 (478% of Medicare)
Ins. Median: $970 (111% 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 - $3,080 8%
Aetna $110 - $7,532 13%
Blue Cross Blue Shield $110 - $5,483 13%
Devoted Health $110 - $943 13%
Humana $110 - $5,488 13%
The Health Plan $110 - $4,143 13%
United $110 - $4,984 13%
UnitedHealthcare $110 - $4,820 13%
Upmc $110 - $4,519 13%
Valor $110 - $943 13%
Cigna $113 - $6,026 13%
Communicare $115 - $990 13%
Perennial Health $119 - $1,019 14%
Pphp $119 - $1,037 14%
Zing Health $121 - $1,037 14%
Cc Ehp $209 - $4,029 24%
Oscar $287 - $2,482 33%
Mmo $368 - $5,272 42%
Paramount $371 - $758 42%
Buckeye $378 - $772 43%
Caresource $378 - $736 43%
Amerihealth $396 45%
Molina $396 - $772 45%
Ohcp $419 - $3,138 48%
Ohio Healthy $430 - $4,519 49%
Aultcare $463 - $3,239 53%
Amish Community Aid Plan $484 - $3,389 55%
Omas $538 - $3,766 61%
Healthsmart $592 - $4,143 67%
Phphi $646 - $4,519 74%
Clarity Health $699 - $4,896 80%
Gms $753 - $5,272 86%
Quality Care Partners $753 - $5,272 86%
Consociate Health $807 - $5,649 92%
United Bh $809 92%
Multiplan $968 - $6,779 110%
Three Rivers $968 - $6,779 110%
Usa Managed Care $968 - $6,779 110%
Php $3,874 442%
Medical Benefit Corp $4,519 515%
Parkview Health Plan $4,519 515%
Community Health Alliance $5,165 589%
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: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals