CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,025
Cash Discount Price: $8,280
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Univ. of Vermont - Fletcher Allen Health Care is $1,025. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,280. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.17x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$8,280

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,025

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: $8,280 (944%)

Insurance Median: $1,025 (117%)

Cash: $8,280 (944% of Medicare)

Ins. Median: $1,025 (117% 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.

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
UnitedHealthcare	$77 - $8,151	9%
Mvp	$94 - $5,783	11%
Aetna	$111 - $1,025	13%
Capital District Physicians' Health Plan	$111 - $6,202	13%
Humana	$111 - $2,318	13%
Martins Point	$111 - $1,051	13%
St. Regis	$111 - $1,025	13%
Veterans Affairs Community Care Network	$111 - $1,025	13%
Blue Cross Blue Shield	$113 - $7,788	13%
Fidelis Care	$127 - $1,128	14%
Wellpath	$155 - $4,554	18%
Ebpa	$373 - $7,121	43%
Harvard Pilgrim	$388 - $6,624	44%
Magnacare	$388 - $6,624	44%
Coventry	$412 - $7,038	47%
Cigna	$425 - $8,073	48%
Nppn	$436 - $7,452	50%

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 $8,280.
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 Univ. of Vermont - Fletcher Allen Health Care 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.