CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Excela Health Westmoreland Regional Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $921
Cash Discount Price: $1,292
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Excela Health Westmoreland Regional Hospital is $921. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,292. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 532 West Pittsburgh Street, Greensburg, PA.

Cash / Self-Pay

$1,292

Average discount available for prompt cash payment at this facility.

Insurance Median

$921

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: $1,292 (147%)

Insurance Median: $921 (105%)

Cash: $1,292 (147% of Medicare)

Ins. Median: $921 (105% 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
Upmc For Kids Chip	$169	19%
Geisinger	$416 - $921	47%
Health Partners Plans	$416	47%
Highmark Wholecare	$426 - $956	49%
Upmc	$440 - $948	50%
Amerihealth Caritas	$451 - $921	51%
Pa Health And Wellness	$451 - $939	51%
Upmc Health Plan	$742 - $1,018	85%
Highmark Advantage Community Blue	$816	93%
Senior Life	$877	100%
Aetna	$904 - $2,018	103%
Health Partners Plan	$904	103%
Martin'S Point	$904	103%
Peak Health	$904 - $2,062	103%
Humana	$912	104%
United	$912	104%
Cigna	$921 - $1,938	105%
Community Blue	$921	105%
Devoted	$921	105%
The Health Plan Of West Virginia	$930 - $2,062	106%
American Health Plan Of Pa	$965	110%
Provider Network Of America	$965 - $1,723	110%
Provider Plan Partners Plan	$965	110%
Highmark Children'S Health Insurance Program	$1,055	120%
Ambetter / Centene	$1,097	125%
Highmark	$1,187 - $1,936	135%
Velocity	$1,316	150%
UnitedHealthcare	$2,236	255%

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 $1,292.
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 Excela Health Westmoreland Regional 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.