CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Olympic Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $769
Cash Discount Price: $1,578
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Olympic Medical Center is $769. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,578. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 939 Caroline St, Port Angeles, WA.

Cash / Self-Pay

$1,578

Average discount available for prompt cash payment at this facility.

Insurance Median

$769

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: $1,578 (180%)

Insurance Median: $769 (88%)

Cash: $1,578 (180% of Medicare)

Ins. Median: $769 (88% 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
Coordinated Care	$122 - $1,046	14%
Molina	$122 - $1,345	14%
Wellpoint (Formerly Amerigroup)	$127 - $1,096	14%
Community Health Plan Of Washington	$133 - $2,952	15%
UnitedHealthcare	$133 - $3,690	15%
Regence Uniform	$143 - $2,063	16%
Ambetter / Centene	$230 - $3,506	26%
Cigna	$248 - $3,594	28%
Aetna	$255 - $3,690	29%
First Choice Network	$255 - $3,690	29%
Gmr/Caldera Care	$255 - $3,690	29%
Hma	$255 - $3,690	29%
Lifewise	$255 - $3,690	29%
Premera	$255 - $3,690	29%
Regence	$255 - $3,690	29%
Wellcare	$769	88%

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 $1,578.
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 Olympic 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.