CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Samaritan Pacific Community Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $485
Cash Discount Price: $1,118
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Samaritan Pacific Community Hospital is $485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,118. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.55x the Medicare baseline. Located in 930 Sw Abbey Street, Newport, OR.

Cash / Self-Pay

$1,118

Average discount available for prompt cash payment at this facility.

Insurance Median

$485

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: $1,118 (127%)

Insurance Median: $485 (55%)

Cash: $1,118 (127% of Medicare)

Ins. Median: $485 (55% 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
Pacificsource	$100 - $1,981	11%
Devoted Health	$110 - $2,034	13%
Healthnet	$110 - $5,199	13%
Humana	$110 - $5,226	13%
Samaritan	$111 - $4,556	13%
Cigna	$115 - $5,199	13%
Ihn	$122 - $545	14%
Regence	$125 - $4,818	14%
Moda	$136 - $5,092	16%
Providence	$145 - $5,199	17%
Aetna	$197 - $5,092	22%
First Choice	$262 - $1,108	30%

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 $1,118.
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 Samaritan Pacific Community 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.