CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Prov Sacred Hrt Med Ctr & Childs Hosp.

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,746
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.99x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Prov Sacred Hrt Med Ctr & Childs Hosp. is $1,746. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.99x the Medicare baseline. Located in 101 West 8Th Avenue, Spokane, WA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,746

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%)

Insurance Median: $1,746 (199%)

Ins. Median: $1,746 (199% 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
Kaiser	$957 - $2,412	109%
Aetna	$986 - $1,089	112%
UnitedHealthcare	$1,005 - $3,175	115%
Blue Shield	$1,033 - $2,758	118%
Community Health Plan	$1,053	120%
Cigna	$1,148	131%
Molina	$1,617	184%
Blue Cross Blue Shield	$1,722 - $2,714	196%
Coordinated Care	$1,770	202%
Providence Health Plan	$2,435	278%
First Choice	$3,272	373%

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 $X.
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 Prov Sacred Hrt Med Ctr & Childs Hosp. 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.