CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Bellin Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,643
Cash Discount Price: $2,590
vs. Medicare Baseline: 3.01x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Bellin Memorial Hospital is $2,643. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,590. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.01x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$2,590

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,643

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: $2,590 (295%)

Insurance Median: $2,643 (301%)

Cash: $2,590 (295% of Medicare)

Ins. Median: $2,643 (301% 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 301% of the Medicare baseline (a markup of 201%). 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
Aetna	$956 - $1,028	109%
Community Care	$956 - $2,240	109%
Humana	$956 - $2,240	109%
My Choice	$956 - $1,028	109%
Network Health	$966 - $3,057	110%
UnitedHealthcare	$996 - $4,466	114%
Blue Cross Blue Shield	$1,028 - $2,998	117%
Common Ground	$2,391	273%
Aspirus Arise	$2,505 - $2,873	286%
Chorus Community Health Plan	$2,562	292%
Cigna	$2,809 - $2,841	320%
Wps Insurance	$2,907 - $3,387	331%
Hps/Paymedix	$2,949 - $3,188	336%
Trilogy	$3,029	345%
Healthsmart	$3,188	363%
Ihs(Claimsbridge)	$3,188	363%
Medical College Of Wi	$3,188	363%
Multiplan	$3,188	363%
Allied National	$3,387	386%
First Health	$3,387	386%
Galaxy Health	$3,387	386%
Three Rivers Provider Network	$3,586	409%

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 $2,590.
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 Bellin Memorial 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.