CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Princeton Community Hospital Assn Inc

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$583

about 0.7× the $877 Medicare rate · typically $469–$843

modeled estimate · not a bill or quote

What this hospital charges insurers

$478

Below the fair price — a good deal

about $105 under the fair price · 0.5× Medicare

Medicare pays $877 Fair price $583 This hospital $478 Cash price $2,905 Hospital's list price $5,810

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

On the higher side — 7 of 8 other WV hospitals charge less.

Cheapest $306 Priciest $531

Black dot = this hospital, among the 9 WV 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 $583 (about 0.7× the $877 Medicare rate). Princeton Community Hospital Assn Inc charges insurers about $478, or about $2,905 in cash — below the fair price — a good deal. Located in Princeton, WV.

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✓ Humana CignaKaiser 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	$478 - $957	54%
Blue Cross Blue Shieldmajor	$87 - $4,737	10%
Aetnamajor	$89 - $922	10%
Humanamajor	$461 - $922	53%
+ 2 smaller / regional plans	$88 - $270

Government programs also on file: Medicare, Medicaid.

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 2,905), 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 Princeton Community Hospital Assn Inc 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 Princeton Community Hospital Assn Inc

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

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