CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Intermountain Health Sanpete Valley Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $3,753
  • Cash Discount Price: $2,963
  • vs. Medicare Baseline: 4.28x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Intermountain Health Sanpete Valley Hospital is $3,753. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,963. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.28x the Medicare baseline. Located in 1100 South Medical Drive, Mount Pleasant, UT.
Cash / Self-Pay
$2,963

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,753

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: $2,963 (338%)
Insurance Median: $3,753 (428%)
Cash: $2,963 (338% of Medicare)
Ins. Median: $3,753 (428% 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 428% of the Medicare baseline (a markup of 328%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $115 - $3,792 13%
American Health $115 - $1,185 13%
Blue Cross Blue Shield $115 - $3,753 13%
Health Partners Of Nevada $115 - $1,185 13%
Health Plan Of Nevada $115 - $3,516 13%
Healthy U $115 - $3,516 13%
Humana $115 - $3,753 13%
Molina $115 - $3,753 13%
Selecthealth $115 - $3,753 13%
UnitedHealthcare $115 - $3,753 13%
Triwest $1,231 - $3,568 140%
Awh Connected $1,942 - $3,792 221%
Byu Athletics $1,942 - $3,753 221%
Campbell Scientific $1,942 - $3,753 221%
Cigna $1,942 - $3,753 221%
Deseret Mutual $1,942 - $3,753 221%
Emi $1,942 - $3,753 221%
Emi Health $1,942 - $3,753 221%
Franklin County $1,942 - $3,753 221%
Health Utah $1,942 - $3,753 221%
Ifit $1,942 - $3,753 221%
Juniper Systems $1,942 - $3,753 221%
Lw Miller $1,942 - $3,753 221%
Managed Care Admin $1,942 - $3,753 221%
Motivhealth $1,942 - $3,753 221%
Pehp $1,942 - $3,753 221%
Prodegi Corp Benefit $1,942 - $3,753 221%
Tanner Llc $1,942 - $3,753 221%
Utah Tech $1,942 - $3,753 221%
Wise Network $1,942 - $3,753 221%
Injury Care Of Nevada $2,963 338%
Byu Risk Management $3,358 383%
Corporation Of The President $3,358 383%
Corvel Corporation $3,358 383%
Wcf Insurance $3,358 383%
Global Excel $3,753 428%
Hygeia Corporation $3,753 428%
Medcare International $3,753 428%
Springtide $3,753 428%
Uofu $3,753 428%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 South Medical Drive, Mount Pleasant, UT 84647
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals