CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Licking Memorial Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$974

about 1.1× the $877 Medicare rate · typically $847–$2,232

modeled estimate · not a bill or quote

What this hospital charges insurers

$828

Below the fair price — a good deal

about $146 under the fair price · 0.9× Medicare

Medicare pays $877 Fair price $974 This hospital $828 Cash price $4,297 Hospital's list price $4,297

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 $828

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $974 (about 1.1× the $877 Medicare rate). Licking Memorial Hospital charges insurers about $828, or about $4,297 in cash — below the fair price — a good deal. Located in Newark, 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	$828 - $4,999	94%
Blue Cross Blue Shieldmajor	$828 - $5,052	94%
Aetnamajor	$828 - $5,429	94%
Cignamajor	$828 - $5,294	94%
Humanamajor	$828 - $5,705	94%
GEHA	$2,218 - $4,811	253%
Medical Mutual	$1,491 - $4,882	170%
Molina	$1,325	151%
Sentara	$2,218 - $4,811	253%
WellCare	$828	94%
+ 26 smaller / regional plans	$1,898 - $5,882

Government programs also on file: Medicare, 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 4,297), 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 Licking Memorial Hospital 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 Licking Memorial Hospital

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

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