CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Fostoria Community Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $4,032
Cash Discount Price: $4,945
vs. Medicare Baseline: 4.60x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Fostoria Community Hospital is $4,032. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,945. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.60x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$4,945

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,032

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: $4,945 (564%)

Insurance Median: $4,032 (460%)

Cash: $4,945 (564% of Medicare)

Ins. Median: $4,032 (460% 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 460% of the Medicare baseline (a markup of 360%). 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
Meridian Health Plan Of Mi	$470	54%
Paramount Health Care	$598 - $4,032	68%
Blue Cross Blue Shield	$613 - $4,929	70%
Health Alliance Plan	$613 - $5,705	70%
Health Value Management	$613 - $1,647	70%
Buckeye Community Health Plan	$631 - $1,696	72%
Buckeye Community Health Plan Inc	$698 - $2,761	80%
Aetna	$705 - $5,097	80%
Dayton Area Health Plan Dba Caresource	$967 - $3,157	110%
UnitedHealthcare	$1,037 - $4,549	118%
Amerihealth	$1,087	124%
Veterans Affairs	$1,674	191%
Medical Mutual Of Ohio	$4,298 - $4,572	490%
Frontpath Health Coalition	$4,382	499%
Ohio Health Choice	$4,945	564%
Ohio Ppo Connect	$4,945 - $5,705	564%
Health Ohio Network	$6,010	685%
Connecticut General Life Insurance Company	$6,070	692%

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 $4,945.
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 Fostoria Community 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.