CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Jefferson Abington Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $451
Cash Discount Price: $969
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Jefferson Abington Hospital is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $969. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.51x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.

Cash / Self-Pay

$969

Average discount available for prompt cash payment at this facility.

Insurance Median

$451

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: $969 (110%)

Insurance Median: $451 (51%)

Cash: $969 (110% of Medicare)

Ins. Median: $451 (51% 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
Medicaid / KanCare	$84 - $755	10%
Jup Health Partners Chip	$93 - $755	11%
Medicare (plans)	$98 - $715	11%
Jup Pa Health_Wellness	$99 - $451	11%
Aetna	$114 - $1,470	13%
Abington Pro Ibc	$124 - $560	14%
Jup Geisinger Commercial	$176 - $1,272	20%
Keystone First	$332 - $426	38%
Pa Health_Wellness Chc	$351	40%
Jup Highmark	$1,136	129%
Pro United Commercial	$1,192	136%
Cigna	$1,311	149%
Upmc Commercial	$1,311	149%
Ibc	$1,891 - $2,276	216%

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 $969.
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 Jefferson Abington 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.