CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Capital Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,748
Cash Discount Price: $2,850
vs. Medicare Baseline: 3.13x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Capital Medical Center is $2,748. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,850. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.13x the Medicare baseline. Located in 3900 Capital Mall Dr Sw, Olympia, WA.

Cash / Self-Pay

$2,850

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,748

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: $2,850 (325%)

Insurance Median: $2,748 (313%)

Cash: $2,850 (325% of Medicare)

Ins. Median: $2,748 (313% 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 313% of the Medicare baseline (a markup of 213%). 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
Community Health Plan Of Washington	$569 - $1,864	65%
Coordinated Care	$580	66%
Molina	$580 - $2,046	66%
UnitedHealthcare	$580 - $5,259	66%
Wellpoint	$843	96%
Regence	$1,117	127%
Aetna	$1,139 - $3,303	130%
Wellcare	$1,161	132%
Premera	$1,750 - $2,748	199%
Ambetter / Centene	$2,046	233%
Pacificsource	$2,285 - $3,900	260%
First Choice	$3,642 - $5,781	415%
Cigna	$3,668 - $4,340	418%
Kaiser	$4,356	497%
Multiplan/Phcs	$4,765 - $6,178	543%
First Health	$5,549 - $6,565	632%

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 $2,850.
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 Capital 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.