CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: St Luke's Hospital at the Vintage

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,425
Cash Discount Price: $2,949
vs. Medicare Baseline: 3.90x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at St Luke's Hospital at the Vintage is $3,425. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,949. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.90x the Medicare baseline. Located in 20171 Chasewood Park Drive, Houston, TX.

Cash / Self-Pay

$2,949

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,425

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: $2,949 (336%)

Insurance Median: $3,425 (390%)

Cash: $2,949 (336% of Medicare)

Ins. Median: $3,425 (390% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 390% of the Medicare baseline (a markup of 290%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Cigna	$100 - $5,898	11%
Blue Cross Blue Shield	$731 - $1,593	83%
Renaissance	$734	84%
Humana	$1,019 - $5,476	116%
Kelsey	$1,019	116%
Selectcare	$1,019	116%
Aetna	$1,039 - $5,729	118%
UnitedHealthcare	$1,039 - $6,961	118%
Amerivantage	$1,050	120%
Devoted	$1,090	124%
Scanhealth	$1,090	124%
Kindred	$1,121	128%
Kelseycare	$1,376	157%
Employer Direct	$1,427	163%
Community Health Choice	$1,529	174%
Superior Health Plan	$1,529	174%
Wellpoint	$1,529	174%
Bright Health	$1,539	175%
United	$2,631 - $4,316	300%
Tchpchip	$2,949 - $3,623	336%
Nx Health	$3,312	378%
Chc	$4,634	528%
Texastruechoice	$4,634	528%
Coventry	$5,476	624%
First Health	$5,476	624%
Healthsmart	$5,898	672%
Interlink	$5,898	672%
Multiplan	$6,319	720%
USA Health Network	$7,161	816%
Mhealth Network	$8,425	960%

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 $2,949.
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 St Luke's Hospital at the Vintage 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.