CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Hudson Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,482
Cash Discount Price: $1,882
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Hudson Hospital is $1,482. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,882. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.69x the Medicare baseline. Located in 405 Stageline Road, Hudson, WI.

Cash / Self-Pay

$1,882

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,482

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: $1,882 (215%)

Insurance Median: $1,482 (169%)

Cash: $1,882 (215% of Medicare)

Ins. Median: $1,482 (169% 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
Blue Cross Blue Shield	$885 - $3,198	101%
Medica [900156]	$1,140	130%
Medicare (plans)	$1,368 - $1,428	156%
UnitedHealthcare	$1,415 - $3,797	161%
Medicaid / KanCare	$1,426 - $1,878	163%
Healthpartners [900713]	$1,878	214%
First Health Network [950334]	$3,754	428%
Ma Wisconsin Replacement [950271]	$4,171	475%

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 $1,882.
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 Hudson 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.