CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mid-Columbia Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,022
  • Cash Discount Price: $1,183
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mid-Columbia Medical Center is $1,022. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,183. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.16x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$1,183

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,022

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: $1,183 (135%)
Insurance Median: $1,022 (116%)
Cash: $1,183 (135% of Medicare)
Ins. Median: $1,022 (116% 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
Blue Cross Blue Shield $118 - $14,539 13%
Community Hp Mcr Adv - All Plans $118 - $1,022 13%
Molina Mcr Adv $118 - $1,022 13%
Tricare $118 - $1,022 13%
Va Ccn Triwest - All Plans $118 - $1,022 13%
Healthnet Mcr Adv $121 - $1,043 14%
Humana $122 - $1,073 14%
Moda Mcr Adv $122 - $1,022 14%
Devoted Mcr Adv - All Plans $128 - $4,925 15%
Employee Health Plan - All Plans $130 - $1,840 15%
Molina - All Other Plans $130 - $1,125 15%
Healthnet - All Other Plans $166 19%
Molina Mcaid $191 - $2,371 22%
Cigna $198 - $4,296 23%
Multiplan/Phcs - All Plans $201 - $4,332 23%
Coventry - All Plans $214 - $4,104 24%
First Choice - All Plans $217 - $4,332 25%
Moda Health Plan - All Other Plans $238 - $3,010 27%
Amerigroup Mcaid - All Plans $368 - $2,371 42%
Coordinated Care Mcaid - All Plans $368 - $2,371 42%
Aetna $1,901 - $4,209 217%
Norocor - All Plans $2,280 260%
UnitedHealthcare $2,371 - $4,332 270%
First Health - All Plans $2,500 285%
Healthscape - All Plans $3,648 416%
Pacific Source - All Plans $4,195 478%
Providence Ppo - All Plans $4,332 494%
Trpn - Three Rivers - All Plans $4,332 494%
Ahp - Americas Hlth Plan - All Plans $4,423 504%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals