CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Roxborough Memorial Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,069

about 1.2× the $877 Medicare rate · typically $613–$1,444

modeled estimate · not a bill or quote

What this hospital charges insurers

$966

About the fair price

about $103 under the fair price · 1.1× Medicare

Medicare pays $877 Fair price $1,069 This hospital $966 Cash price $877 Hospital's list price $5,728

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $270 Priciest $966

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 $1,069 (about 1.2× the $877 Medicare rate). Roxborough Memorial Hospital charges insurers about $966, or about $877 in cash — about the fair price. Located in Philadelphia, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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
UnitedHealthcaremajor	$305 - $1,835	35%
Blue Cross Blue Shieldmajor	$878 - $1,913	100%
Cignamajor	$2,076	237%
Humanamajor	$702	80%
HealthPartners	$270 - $1,317	31%
+ 7 smaller / regional plans	$287 - $1,229

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 877), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Roxborough Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Roxborough Memorial Hospital

Compare: Sleep study (overnight, in lab) at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.