CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Children's Hospital of Philadelphia

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$792

about 0.9× the $877 Medicare rate · typically $349–$1,566

modeled estimate · not a bill or quote

What this hospital charges insurers

$405

Below the fair price — a good deal

about $387 under the fair price · 0.5× Medicare

Medicare pays $877 Fair price $792 This hospital $405 Cash price $10,307 Hospital's list price $10,307

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 6 of 8 other PA hospitals charge more for the same procedure.

Cheapest $270 Priciest $472

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $792 (about 0.9× the $877 Medicare rate). Children's Hospital of Philadelphia charges insurers about $405, or about $10,307 in cash — below the fair price — a good deal. 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✓ Aetna✓ Cigna HumanaKaiser 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	$1,711 - $5,669	195%
Blue Cross Blue Shieldmajor	$405 - $5,154	46%
Aetnamajor	$2,713 - $5,154	309%
Cignamajor	$5,154	587%
Geisinger	$365 - $4,535	42%
HealthPartners	$1,943	221%
UPMC Health Plan	$2,814	321%
+ 7 smaller / regional plans	$2,461 - $9,276

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (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 10,307), 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 Children's Hospital of Philadelphia 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 Children's Hospital of Philadelphia

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

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