CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Good Samaritan Hospital of Suffern

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,238
Cash Discount Price: $1,865
vs. Medicare Baseline: 2.55x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Good Samaritan Hospital of Suffern is $2,238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,865. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.55x the Medicare baseline. Located in 255 Lafayette Avenue, Suffern, NY.

Cash / Self-Pay

$1,865

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,238

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: $1,865 (213%)

Insurance Median: $2,238 (255%)

Cash: $1,865 (213% of Medicare)

Ins. Median: $2,238 (255% 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 255% of the Medicare baseline (a markup of 155%). 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
Hamaspik (McR)	$1,067	122%
Mvp Gold (McR)	$1,067	122%
Medicare (plans)	$1,067 - $1,141	122%
Affinity By Molina McR	$1,120	128%
Emblem	$1,158 - $5,842	132%
Beacon Exchange	$1,280	146%
Beacon Commercial	$1,387	158%
UnitedHealthcare	$1,902 - $2,238	217%
Emblem Select Care (Exchange)	$2,000	228%
Oxford	$2,014 - $2,199	230%
Mvp Exchange	$2,148	245%
Emblem Ghi/Hip PPO	$2,350	268%
Mvp	$2,598 - $3,056	296%
Geisinger Health Commercial/Exchange	$3,520	401%
Aetna	$3,717 - $4,130	424%
Blue Cross Blue Shield	$3,948 - $4,872	450%
Self-Pay	$4,368	498%
Tricare	$6,209	708%

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 $1,865.
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 Good Samaritan Hospital of Suffern 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.