CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Upland Hills Health

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,888
Cash Discount Price: $3,442
vs. Medicare Baseline: 4.43x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Upland Hills Health is $3,888. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,442. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.43x the Medicare baseline. Located in 800 Compassion Way, Dodgeville, WI.

Cash / Self-Pay

$3,442

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,888

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: $3,442 (392%)

Insurance Median: $3,888 (443%)

Cash: $3,442 (392% of Medicare)

Ins. Median: $3,888 (443% 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 443% of the Medicare baseline (a markup of 343%). 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
UnitedHealthcare	$323 - $1,370	37%
Quartz	$681	78%
Ghc Of Eau Claire	$1,011	115%
Ghc Of Sc Wi	$1,011 - $4,377	115%
Mhs	$1,011 - $1,802	115%
Blue Cross Blue Shield	$1,767 - $5,278	201%
Humana	$1,767 - $5,793	201%
Icare	$1,767 - $1,802	201%
Medical Associates	$1,767 - $4,827	201%
Security Health Plan	$1,767 - $1,802	201%
Alliance	$3,567 - $3,638	407%
Wps	$3,849 - $4,048	439%
Dean Health Plan	$4,389 - $4,476	500%
Cigna	$4,707 - $5,368	537%
Multiplan	$5,553 - $5,664	633%

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 $3,442.
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 Upland Hills Health 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.