CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Pottstown Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,019
about 1.2× the $877 Medicare rate · typically $498–$1,543
modeled estimate · not a bill or quote
What this hospital charges insurers
$419
Below the fair price — a good deal
about $600 under the fair price · 0.5× Medicare
Medicare pays $877 Fair price $1,019 This hospital $419 Cash price $908 Hospital's list price $3,633

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 PA hospitals compared.

Cheapest $270 Priciest $472

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 $1,019 (about 1.2× the $877 Medicare rate). Pottstown Hospital charges insurers about $419, or about $908 in cash — below the fair price — a good deal. Located in Pottstown, PA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $1,906 - $2,890 217%
Aetnamajor $460 - $1,394 52%
Geisinger $324 37%
HealthPartners $338 39%
UPMC Health Plan $378 - $2,725 43%
+ 4 smaller / regional plans $338 - $3,560
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1600 East High Street, Pottstown, PA 19464
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals