CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Valley Medical Center
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $1,227
- Cash Discount Price: $1,176
- vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Valley Medical Center is $1,227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,176. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.40x the Medicare baseline. Located in 400 S 43Rd St, Renton, WA.
Cash / Self-Pay
$1,176
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,227
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: $1,176 (134%)
Insurance Median: $1,227 (140%)
Cash: $1,176 (134% of Medicare)
Ins. Median: $1,227 (140% 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.
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 |
|---|---|---|
| Aetna | $206 - $3,042 | 23% |
| Allied Benefit Systems Llc [110104] | $206 - $1,163 | 23% |
| Christian Brother Employee Benefit Trust [110100] | $206 - $1,163 | 23% |
| First Health [130103] | $206 - $1,163 | 23% |
| United Medical Resources [130101] | $206 - $1,163 | 23% |
| Chpw Apple Health [310102] | $379 | 43% |
| Wellpoint Apple Health [310107] | $386 | 44% |
| Coordinated Care Apple Health [310108] | $390 | 44% |
| UnitedHealthcare | $390 - $3,338 | 44% |
| Molina Apple Health [310101] | $436 | 50% |
| Multiplan Phcs [130109] | $528 | 60% |
| Personify Health [140193] | $528 | 60% |
| Regence Medadvantage [210111] | $809 | 92% |
| Humana | $997 - $1,017 | 114% |
| Medicare (plans) | $997 - $1,047 | 114% |
| Wellpoint Medadvantage [210115] | $997 | 114% |
| Cigna | $1,039 - $2,826 | 118% |
| Great West [190102] | $1,039 | 118% |
| Providence Health [130125] | $1,039 | 118% |
| Kaiser Washington Contracted [130118] | $1,089 - $3,640 | 124% |
| Kaiser Washington Non Contracted [140116] | $1,089 | 124% |
| Blue Cross Blue Shield | $1,145 - $3,507 | 131% |
| Molina [130117] | $1,174 - $1,695 | 134% |
| Bh United [180100] | $1,280 | 146% |
| Chpw [130116] | $1,596 | 182% |
| Regence Blue Shield [170100] | $2,784 - $2,961 | 317% |
| Regence Uniform [130111] | $2,813 | 321% |
| Benefit Md [150113] | $2,889 | 329% |
| Carpenters Trust [150122] | $2,889 | 329% |
| Cement Masons And Plasterers [150127] | $2,889 | 329% |
| Coresource [150109] | $2,889 | 329% |
| Employee Benefit Management Services [150108] | $2,889 | 329% |
| Fc Moda Health [150139] | $2,889 | 329% |
| First Choice Health Administrators [150110] | $2,889 | 329% |
| First Choice Health Comp [150112] | $2,889 | 329% |
| First Choice [150134] | $2,889 | 329% |
| Health Net [150111] | $2,889 | 329% |
| Here [150114] | $2,889 | 329% |
| Hotel Employees Health Trust [150115] | $2,889 | 329% |
| International Longshore & Warehouse Union [150116] | $2,889 | 329% |
| Kitsap Physician Services [150118] | $2,889 | 329% |
| Loomis Benefits West [150119] | $2,889 | 329% |
| Mega [150120] | $2,889 | 329% |
| Midwest [150121] | $2,889 | 329% |
| Nw Administrators [150123] | $2,889 | 329% |
| Operating Engineers [150125] | $2,889 | 329% |
| Painters Trust [150126] | $2,889 | 329% |
| Puget Sound Electric [150131] | $2,889 | 329% |
| Seattle Plumb And Pipe [150132] | $2,889 | 329% |
| Trusteed Plan [150101] | $2,889 | 329% |
| United Employee Benefit Trust [150137] | $2,889 | 329% |
| Washington Bakers Trust [150102] | $2,889 | 329% |
| Washington Employers Trust [150103] | $2,889 | 329% |
| Washington State Health Ins Pool [150104] | $2,889 | 329% |
| Welfare Pension Administration Services [150105] | $2,889 | 329% |
| Zenith Admin [150106] | $2,889 | 329% |
| Zzjohn Alden [150117] | $2,889 | 329% |
| Zzprincipal Financial Group [150128] | $2,889 | 329% |
| Zzprovidence [150129] | $2,889 | 329% |
| Regence Hma [170105] | $2,961 | 337% |
| Regence Hma1 [170102] | $2,961 | 337% |