CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: St Luke's Miners Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,100
Cash Discount Price: $12,452
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at St Luke's Miners Memorial Hospital is $1,100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,452. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.25x the Medicare baseline. Located in 360 W Ruddle Street, Coaldale, PA.

Cash / Self-Pay

$12,452

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,100

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: $12,452 (1419%)

Insurance Median: $1,100 (125%)

Cash: $12,452 (1419% of Medicare)

Ins. Median: $1,100 (125% 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
Keystone First	$347	40%
Geisinger	$409 - $3,891	47%
Amerihealth Caritas	$416	47%
Highmark Wholecare	$416	47%
Upmc Health Plan	$416 - $3,792	47%
Jefferson Health Plan	$499	57%
Blue Cross Blue Shield	$1,019 - $11,459	116%
Highmark	$1,019 - $2,814	116%
Aetna	$1,039 - $4,829	118%
Humana	$1,059	121%
UnitedHealthcare	$1,100 - $3,999	125%
Oscar	$3,590	409%
Cigna	$3,787	432%

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 $12,452.
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 St Luke's Miners Memorial 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.