CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Lonesome Pine Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,009

about 1.2× the $877 Medicare rate · typically $889–$1,703

modeled estimate · not a bill or quote

What this hospital charges insurers

$880

Below the fair price — a good deal

about $129 under the fair price · 1.0× Medicare

Medicare pays $877 Fair price $1,009 This hospital $880 Cash price $549 Hospital's list price $3,659

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

A typical price — 1 charge more and 4 charge less, among the 9 VA hospitals compared.

Cheapest $794 Priciest $884

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

A fair price for a Sleep study (overnight, in lab) is about $1,009 (about 1.2× the $877 Medicare rate). Lonesome Pine Hospital charges insurers about $880, or about $549 in cash — below the fair price — a good deal. Located in Big Stone Gap, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$397 - $1,193	45%
Blue Cross Blue Shieldmajor	$469 - $3,659	53%
Aetnamajor	$838 - $1,562	96%
Cignamajor	$880 - $1,698	100%
Humanamajor	$838	96%
Ambetter (Centene)	$1,827	208%
Amerigroup	$838	96%
Devoted Health	$880	100%
Molina	$880 - $1,025	100%
Sentara	$838 - $1,006	96%
WellCare	$888	101%
+ 4 smaller / regional plans	$838 - $2,011

Government programs also on file: Medicare.

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 549), 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 Lonesome Pine Hospital 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 Lonesome Pine Hospital

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

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