CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: St Marys Hospital Superior

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,041

about 1.2× the $877 Medicare rate · typically $376–$1,601

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,013

About the fair price

about $28 under the fair price · 1.2× Medicare

Medicare pays $877 Fair price $1,041 This hospital $1,013 Cash price $3,558 Hospital's list price $4,814

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $208 Priciest $1,013

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $1,041 (about 1.2× the $877 Medicare rate). St Marys Hospital Superior charges insurers about $1,013, or about $3,558 in cash — about the fair price. Located in Superior, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,540 - $4,357	176%
Blue Cross Blue Shieldmajor	$1,540 - $3,866	176%
Aetnamajor	$4,092	466%
Cignamajor	$3,755	428%
HealthPartners	$1,540 - $3,755	176%
Medica	$1,540 - $3,870	176%
Sanford Health Plan	$2,065	235%
Security Health Plan	$1,540 - $3,707	176%
UCare	$1,540 - $3,168	176%
+ 13 smaller / regional plans	$1,008 - $4,140

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,558), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm St Marys Hospital Superior is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Marys Hospital Superior

Compare: Sleep study (overnight, in lab) at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.