CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Bay Area Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,205
Cash Discount Price: $1,952
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Bay Area Hospital is $1,205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,952. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.37x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$1,952

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,205

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: $1,952 (222%)

Insurance Median: $1,205 (137%)

Cash: $1,952 (222% of Medicare)

Ins. Median: $1,205 (137% 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
Healthnet Mcr Adv	$130 - $1,104	15%
Moda Hlth Mcr Adv	$130 - $1,125	15%
Southwest Oregon Ipa - All Plans	$139 - $848	16%
Blue Cross Blue Shield	$143 - $17,417	16%
Nasomah Hlth Grp - All Plans	$205 - $2,918	23%
Ods Ppo/Pos - All Plans	$283 - $3,977	32%
Moda Beacon - All Other Plans	$320 - $2,770	36%
Healthnet Comm- All Other Plans	$325 - $4,621	37%
Healthnet Mcaid	$342 - $1,022	39%
Moda Connexus/Synergy	$355 - $4,329	40%
Prov Behav Hlth	$1,205	137%
Providence - All Other Plans	$1,205 - $4,524	137%
Providence Pebb	$1,205 - $3,946	137%
Pacificsource - All Plans	$1,377 - $4,134	157%
First Choice - All Plans	$4,426	504%
Aetna	$4,475	510%
Cigna	$4,475	510%
UnitedHealthcare	$4,621	527%

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 $1,952.
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 Bay Area 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.