CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Landmark Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $961
Cash Discount Price: $960
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Landmark Medical Center is $961. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $960. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.10x the Medicare baseline. Located in 115 Cass Avenue, Woonsocket, RI.

Cash / Self-Pay

$960

Average discount available for prompt cash payment at this facility.

Insurance Median

$961

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: $960 (109%)

Insurance Median: $961 (110%)

Cash: $960 (109% of Medicare)

Ins. Median: $961 (110% 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
UnitedHealthcare	$774 - $961	88%
Tufts Health Plan	$833 - $1,426	95%
Neighborhood Health Plan	$854 - $1,024	97%
Aetna	$961	110%
Humana	$961	110%
Medicare (plans)	$961	110%
Tricare	$961	110%
Common Wellthcare Alliance	$980 - $1,009	112%
Wellcare	$980	112%
Medicaid / KanCare	$1,073	122%
Blue Cross Blue Shield	$1,089 - $1,578	124%
Employer Direct Healthcare	$1,345	153%

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 $960.
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 Landmark 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.