CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mary Bridge Children's Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $5,218
Cash Discount Price: $3,940
vs. Medicare Baseline: 5.95x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mary Bridge Children's Hospital is $5,218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,940. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 5.95x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$3,940

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,218

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: $3,940 (449%)

Insurance Median: $5,218 (595%)

Cash: $3,940 (449% of Medicare)

Ins. Median: $5,218 (595% 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 595% of the Medicare baseline (a markup of 495%). 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	$538 - $2,091	61%
Community Health Plan Of Washington	$582 - $1,696	66%
Coordinated Care	$582	66%
UnitedHealthcare	$582 - $9,235	66%
Wellpoint	$582	66%
Aetna	$1,164 - $6,960	133%
Regence	$1,164 - $5,668	133%
Wellcare	$1,187	135%
Premera	$1,750 - $4,801	199%
Ambetter / Centene	$1,911	218%
Pacificsource	$4,152 - $4,186	473%
Uniform Medical	$5,635	642%
First Choice	$6,414 - $7,613	731%
First Health	$7,879	898%
Multiplan/Phcs	$7,879	898%
Kaiser	$7,911	902%
Cigna	$8,017 - $8,224	914%

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 $3,940.
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 Mary Bridge Children's Hospital 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.