CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: The Hospital at Westlake Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,147

about 1.3× the $877 Medicare rate · typically $618–$1,627

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,254

About the fair price

about $107 over the fair price · 1.4× Medicare

Medicare pays $877 Fair price $1,147 This hospital $1,254 Cash price $1,994 Hospital's list price $5,742

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $218 Priciest $1,254

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

A fair price for a Sleep study (overnight, in lab) is about $1,147 (about 1.3× the $877 Medicare rate). The Hospital at Westlake Medical Center charges insurers about $1,254, or about $1,994 in cash — about the fair price. Located in Austin, TX.

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	$935 - $3,821	107%
Aetnamajor	$935 - $2,561	107%
Cignamajor	$1,254	143%
Humanamajor	$935 - $3,732	107%
Ambetter (Centene)	$935	107%
Baylor Scott & White	$3,158	360%
WellCare	$935	107%
+ 5 smaller / regional plans	$935 - $2,584

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

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 1,994), 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 The Hospital at Westlake Medical Center 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 The Hospital at Westlake Medical Center

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

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