CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Valley Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,980

about 2.3× the $877 Medicare rate · typically $795–$2,333

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,695

Below the fair price — a good deal

about $285 under the fair price · 1.9× Medicare

Medicare pays $877 Fair price $1,980 This hospital $1,695 Cash price $1,176 Hospital's list price $1,680

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $244 Priciest $1,695

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $1,980 (about 2.3× the $877 Medicare rate). Valley Medical Center charges insurers about $1,695, or about $1,176 in cash — below the fair price — a good deal. Located in Renton, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$206 - $3,338	23%
Blue Cross Blue Shieldmajor	$809 - $3,507	92%
Aetnamajor	$206 - $3,042	23%
Cignamajor	$1,039 - $2,826	118%
Humanamajor	$997 - $1,017	114%
Kaiser Permanentemajor	$1,089 - $3,640	124%
Health Net	$2,889	329%
Moda Health	$2,889	329%
Molina	$1,174 - $1,695	134%
Providence Health Plan	$1,039	118%
+ 34 smaller / regional plans	$206 - $2,889

Government programs also on file: Medicare, Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,176), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Valley Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Valley Medical Center

Compare: Sleep study (overnight, in lab) at other WA hospitals

Seattle Children's Hospital · Seattle $244
Island Hospital · Anacortes $376
Providence St Lukes Rehabilitation Medical Center · Spokane $1,033
Astria Toppenish Hospital · Toppenish $1,066
Skagit Valley Hospital · Mount Vernon $1,068
Legacy Salmon Creek Medical Center · Vancouver $1,072
Deaconess Medical Center · Spokane $1,117
Multicare Valley Hospital · Spokane Valley $1,117

Insurance negotiated median for the same procedure, sorted lowest first.