CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Lower Bucks Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,047

about 1.2× the $877 Medicare rate · typically $601–$1,433

modeled estimate · not a bill or quote

What this hospital charges insurers

$908

Below the fair price — a good deal

about $139 under the fair price · 1.0× Medicare

Medicare pays $877 Fair price $1,047 This hospital $908 Cash price $844 Hospital's list price $4,326

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 $908

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 $1,047 (about 1.2× the $877 Medicare rate). Lower Bucks Hospital charges insurers about $908, or about $844 in cash — below the fair price — a good deal. Located in Bristol, PA.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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	$305 - $1,805	35%
Blue Cross Blue Shieldmajor	$845 - $1,881	96%
Cignamajor	$2,042	233%
Humanamajor	$676	77%
HealthPartners	$270 - $1,267	31%
+ 7 smaller / regional plans	$287 - $1,183

Government programs also on file: Medicare, Medicaid, Military & VA.

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 844), 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 Lower Bucks Hospital 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 Lower Bucks Hospital

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

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