CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,328
Cash Discount Price: $1,855
vs. Medicare Baseline: 2.65x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Holy Cross Hospital - Salt Lake is $2,328. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,855. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.65x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$1,855

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,328

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: $1,855 (211%)

Insurance Median: $2,328 (265%)

Cash: $1,855 (211% of Medicare)

Ins. Median: $2,328 (265% 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 265% of the Medicare baseline (a markup of 165%). 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
Denver Health	$393	45%
Health Choice	$393	45%
Medicaid / KanCare	$393	45%
Rocky Mountain Health Plan	$393	45%
Uuhp	$393 - $1,589	45%
Humana	$454	52%
Medicare (plans)	$454	52%
UnitedHealthcare	$478	54%
Employer Direct Healthcare	$569	65%
Motivhealth	$602	69%
Centura Employee Plan	$785	89%
Molina	$1,063 - $1,992	121%
Blue Cross Blue Shield	$1,235 - $2,783	141%
Cigna	$1,659 - $3,711	189%
Pehp	$1,981 - $4,638	226%
Aetna	$2,049 - $3,919	234%
Wise	$2,412 - $2,458	275%
Deseret Mutual Benefit Administrators	$2,848	325%
Select Health	$3,070	350%
Multiplan	$3,200 - $4,221	365%
Emi Health	$4,638	529%

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 $1,855.
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 Holy Cross Hospital - Salt Lake 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.