CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Lehigh Valley Hospital - Macungie

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,132
about 1.3× the $877 Medicare rate · typically $834–$1,132
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,108
About the fair price
about $24 under the fair price · 1.3× Medicare
Medicare pays $877 Fair price $1,132 This hospital $1,108

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 $1,108

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 $1,132 (about 1.3× the $877 Medicare rate). Lehigh Valley Hospital - Macungie charges insurers about $1,108 — about the fair price. Located in Macungie, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $440 - $2,785 50%
Aetnamajor $502 - $5,171 57%
Cignamajor $1,067 122%
Humanamajor $1,046 119%
Ambetter (Centene) $3,142 358%
AmeriHealth $503 - $1,067 57%
Geisinger $433 - $4,553 49%
HealthPartners $468 - $2,072 53%
UPMC Health Plan $570 - $5,044 65%
+ 5 smaller / regional plans $468 - $6,040

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Facility Profile & Credentials

  • Address: 3369 State Route 100, Macungie, PA 18062
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals