CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Swedish Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,785
Cash Discount Price: $3,211
vs. Medicare Baseline: 3.17x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Swedish Medical Center is $2,785. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,211. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.17x the Medicare baseline. Located in 747 Broadway, Seattle, WA.

Cash / Self-Pay

$3,211

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,785

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: $3,211 (366%)

Insurance Median: $2,785 (317%)

Cash: $3,211 (366% of Medicare)

Ins. Median: $2,785 (317% 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 317% of the Medicare baseline (a markup of 217%). 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
Kaiser	$994 - $1,492	113%
Aetna	$1,024 - $3,552	117%
UnitedHealthcare	$1,044 - $4,218	119%
Humana	$1,054	120%
Blue Shield	$1,074	122%
Amerigroup	$1,094	125%
Cigna	$1,193	136%
Community Health Plan	$1,591	181%
Blue Cross Blue Shield	$1,790 - $3,666	204%
Coordinated Care	$1,840	210%
Blue Shield-Ballard	$2,785 - $3,736	317%
Blue Shield-First Hill	$2,785 - $3,736	317%
Blue Shield-Mill Creek	$2,785 - $3,736	317%
Blue Shield-Redmond	$2,785 - $3,736	317%
Providence Health Plan	$3,021	344%
First Choice	$4,272 - $4,545	487%

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 $3,211.
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 Swedish Medical Center 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.