CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: OHSU Hospital and Clinics

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,093
Cash Discount Price: $2,049
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at OHSU Hospital and Clinics is $1,093. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,049. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.25x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.

Cash / Self-Pay

$2,049

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,093

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: $2,049 (234%)

Insurance Median: $1,093 (125%)

Cash: $2,049 (234% of Medicare)

Ins. Median: $1,093 (125% 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.

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
Community Health Plan Of Washington	$243 - $1,350	28%
Samaritan Health Plan	$697 - $2,771	79%
Moda	$702 - $3,356	80%
Blue Cross Blue Shield	$761 - $3,193	87%
Care Oregon	$771 - $1,138	88%
Intercommunity Health Network	$771	88%
Kaiser Foundation Hospitals	$771 - $2,242	88%
Medicare (plans)	$771 - $1,543	88%
Pacific Source	$771 - $3,920	88%
Coventry First Health	$951 - $3,778	108%
First Choice	$961 - $3,817	110%
Humana	$964 - $1,022	110%
Trillium	$964	110%
Health Net Health Plan Of Oregon, Inc.	$982 - $3,902	112%
Aetna	$989 - $3,930	113%
UnitedHealthcare	$1,022 - $3,930	116%
Providence Health Plan	$1,078 - $4,282	123%
Cigna	$1,159 - $4,605	132%
Molina Exchange	$1,268 - $5,038	145%
Tuality Health	$1,268 - $1,736	145%

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 $2,049.
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 OHSU Hospital and Clinics 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.