CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Columbus Community Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,830
Cash Discount Price: $4,446
vs. Medicare Baseline: 2.09x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Columbus Community Hospital is $1,830. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,446. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.09x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.

Cash / Self-Pay

$4,446

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,830

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: $4,446 (507%)

Insurance Median: $1,830 (209%)

Cash: $4,446 (507% of Medicare)

Ins. Median: $1,830 (209% 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 209% of the Medicare baseline (a markup of 109%). 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
Dean Health Plan	$877 - $7,024	100%
My Choice Wisconsin	$877 - $1,315	100%
Quartz	$877 - $5,311	100%
Security Health Plan	$877 - $6,034	100%
UnitedHealthcare	$877 - $6,710	100%
Alliance	$996	114%
Blue Cross Blue Shield	$1,315 - $6,225	150%
Icare	$1,315 - $2,344	150%
Cigna	$4,834	551%
Health Payment Systems	$6,063	691%
Trilogy	$6,629	756%
Wps	$6,807	776%
Healtheos	$7,033 - $7,518	802%
First Health	$7,114	811%
Humana	$7,276	829%

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 $4,446.
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 Columbus Community 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.