CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Jefferson Healthcare

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $894
Cash Discount Price: $1,515
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Jefferson Healthcare is $894. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,515. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.02x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$1,515

Average discount available for prompt cash payment at this facility.

Insurance Median

$894

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: $1,515 (173%)

Insurance Median: $894 (102%)

Cash: $1,515 (173% of Medicare)

Ins. Median: $894 (102% 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
Tricare	$122 - $935	14%
Chpw Mcr Adv	$131 - $1,009	15%
Aetna	$140 - $2,403	16%
Medicare (plans)	$140 - $953	16%
Molina Mcr Adv	$140 - $935	16%
Molina Marketplace-All Other Plans	$152 - $1,168	17%
Chpw Commercial-All Other Plans	$182 - $2,270	21%
Coord Care Comm/Exchge-All Other Plans	$195 - $2,403	22%
Chpw Mcaid	$390 - $834	44%
Molina Mcaid	$390 - $852	44%
Amerigroup Mcaid-All Plans	$402 - $877	46%
Regence-All Other Plans	$837 - $2,003	95%
Coord Care Mcaid Ip/Op Only	$894	102%
Premera-All Plans	$949 - $2,270	108%
Cigna	$1,005 - $2,403	115%
UnitedHealthcare	$1,495	170%
Coord Care Cascade Ip/Op Only	$2,403	274%

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 $1,515.
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 Jefferson Healthcare 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.