CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Milton S Hershey Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,138
Cash Discount Price: $2,191
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Milton S Hershey Medical Center is $1,138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,191. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.30x the Medicare baseline. Located in 500 University Drive, Hershey, PA.

Cash / Self-Pay

$2,191

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,138

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: $2,191 (250%)

Insurance Median: $1,138 (130%)

Cash: $2,191 (250% of Medicare)

Ins. Median: $1,138 (130% 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
[Amerihealth Caritas]	$774 - $911	88%
[Highmark Wholecare]	$774 - $911	88%
[Geisinger]	$820 - $4,928	93%
[Health Partners Plans]	$847 - $929	97%
[Pa Health & Wellness]	$852 - $938	97%
[Highmark]	$902 - $4,898	103%
Aetna	$920 - $4,479	105%
Humana	$920	105%
[Healthspring]	$920	105%
UnitedHealthcare	$929 - $4,768	106%
[Upmc]	$929 - $4,886	106%
[Point Comfort Underwriters]	$1,138	130%
[Cbc]	$1,190 - $4,380	136%
[Highmark Aca]	$3,428	391%
[Highmark Choice Blue]	$3,918	447%
Cigna	$4,228	482%
[Preferred Healthcare Systems]	$4,960	565%
[First Health]	$5,290	603%
[Multiplan]	$5,290	603%

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 $2,191.
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 Milton S Hershey Medical Center 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.