CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Multicare Covington Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,285
Cash Discount Price: $2,611
vs. Medicare Baseline: 2.60x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Multicare Covington Medical Center is $2,285. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,611. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.60x the Medicare baseline. Located in 17700 Se 272Nd St, Covington, WA.

Cash / Self-Pay

$2,611

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,285

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: $2,611 (298%)

Insurance Median: $2,285 (260%)

Cash: $2,611 (298% of Medicare)

Ins. Median: $2,285 (260% 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 260% of the Medicare baseline (a markup of 160%). 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
Molina	$529 - $2,053	60%
Community Health Plan Of Washington	$571 - $1,871	65%
Coordinated Care	$571	65%
UnitedHealthcare	$571 - $5,354	65%
Wellpoint	$571	65%
Aetna	$1,143 - $4,746	130%
Regence	$1,143	130%
Wellcare	$1,165	133%
Premera	$1,750 - $4,801	199%
Ambetter / Centene	$2,220	253%
Pacificsource	$2,285 - $3,297	260%
First Choice	$3,180 - $5,781	362%
Kaiser	$4,356	497%
First Health	$4,765	543%
Multiplan/Phcs	$4,765	543%
Cigna	$5,614	640%

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 $2,611.
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 Multicare Covington 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.