CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Geisinger-Bloomsburg Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,981
Cash Discount Price: $4,024
vs. Medicare Baseline: 2.26x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Geisinger-Bloomsburg Hospital is $1,981. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,024. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.26x the Medicare baseline. Located in 549 East Fair Street, Bloomsburg, PA.

Cash / Self-Pay

$4,024

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,981

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: $4,024 (459%)

Insurance Median: $1,981 (226%)

Cash: $4,024 (459% of Medicare)

Ins. Median: $1,981 (226% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 226% of the Medicare baseline (a markup of 126%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$347	40%
Geisinger Family Plan	$357	41%
Amerihealth	$399	45%
Upmc For You	$407	46%
Health Partners	$416	47%
Upmc Chip	$433	49%
Advantra	$979	112%
Blue Cross Blue Shield	$979 - $3,619	112%
Geisinger Health Plan	$979 - $2,463	112%
Humana	$979 - $5,516	112%
Medicare (plans)	$979	112%
UnitedHealthcare	$979 - $1,584	112%
American Progressive	$998	114%
Care Improvement Plus	$998	114%
Medical Development International	$1,468	167%
Naphcare	$1,468	167%
Cigna	$1,713	195%
Ambetter / Centene	$2,349	268%
Aetna	$2,460 - $4,160	280%
Intergroup Services	$2,596 - $4,543	296%
Christian Healthcare Ministries	$3,245	370%
Multiplan	$5,516	629%

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 $4,024.
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 Geisinger-Bloomsburg 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.