CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Hillsboro Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,050

about 1.2× the $877 Medicare rate · typically $963–$2,446

modeled estimate · not a bill or quote

What this hospital charges insurers

$983

About the fair price

about $67 under the fair price · 1.1× Medicare

Medicare pays $877 Fair price $1,050 This hospital $983 Cash price $824 Hospital's list price $1,268

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $217 Priciest $983

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

A fair price for a Sleep study (overnight, in lab) is about $1,050 (about 1.2× the $877 Medicare rate). Hillsboro Medical Center charges insurers about $983, or about $824 in cash — about the fair price. Located in Hillsboro, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$1,012 - $1,268	115%
Blue Cross Blue Shieldmajor	$1,268	145%
Aetnamajor	$1,031 - $1,141	118%
Cignamajor	$875	100%
Humanamajor	$983 - $1,012	112%
Kaiser Permanentemajor	$764 - $1,268	87%
Health Net	$745 - $1,098	85%
Moda Health	$1,050 - $1,268	120%
Molina	$1,268	145%
Providence Health Plan	$824 - $955	94%
+ 7 smaller / regional plans	$745 - $1,268

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 824), 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 Hillsboro Medical Center 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 Hillsboro Medical Center

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

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