CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Nationwide Children's Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$995

about 1.1× the $877 Medicare rate · typically $384–$2,080

modeled estimate · not a bill or quote

What this hospital charges insurers

$499

Below the fair price — a good deal

about $496 under the fair price · 0.6× Medicare

Medicare pays $877 Fair price $995 This hospital $499 Cash price $9,090 Hospital's list price $10,100

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 6 of 8 other OH hospitals charge more for the same procedure.

Cheapest $224 Priciest $675

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 $995 (about 1.1× the $877 Medicare rate). Nationwide Children's Hospital charges insurers about $499, or about $9,090 in cash — below the fair price — a good deal. Located in Columbus, 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	$324 - $9,595	37%
Blue Cross Blue Shieldmajor	$353 - $9,494	40%
Aetnamajor	$436 - $9,595	50%
Cignamajor	$436 - $9,494	50%
Humanamajor	$268 - $9,595	31%
AmeriHealth	$1,082	123%
CareSource	$175 - $1,316	20%
Molina	$1,082	123%
UniCare	$9,595	1094%
+ 8 smaller / regional plans	$329 - $9,898

Government programs also on file: Military & VA.

Excludes 3 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 9,090), 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 Nationwide Children's 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 Nationwide Children's Hospital

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

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