CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Schuylkill Medical Center - South Jackson Street

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,016

about 1.2× the $877 Medicare rate · typically $731–$1,071

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,065

About the fair price

about $49 over the fair price · 1.2× Medicare

Medicare pays $877 Fair price $1,016 This hospital $1,065

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $270 Priciest $1,065

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

A fair price for a Sleep study (overnight, in lab) is about $1,016 (about 1.2× the $877 Medicare rate). Schuylkill Medical Center - South Jackson Street charges insurers about $1,065 — about the fair price. Located in Pottsville, PA.

What each insurance company pays

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

5 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	$409 - $1,045	47%
Blue Cross Blue Shieldmajor	$440 - $3,177	50%
Aetnamajor	$395 - $5,573	45%
Cignamajor	$1,035	118%
Humanamajor	$1,065	121%
Ambetter (Centene)	$3,048	347%
AmeriHealth	$399 - $1,035	45%
Devoted Health	$1,065	121%
Geisinger	$412 - $2,445	47%
HealthPartners	$468 - $2,010	53%
UPMC Health Plan	$570 - $4,894	65%
+ 5 smaller / regional plans	$468 - $5,860

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, 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 Schuylkill Medical Center - South Jackson Street 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 (%)

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Other Procedures at Schuylkill Medical Center - South Jackson Street

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

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