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Every billing code / CPT 95811 / Summit Pacific Medical Center

CPT 95811 at Summit Pacific Medical Center

Sleep Study

Summit Pacific Medical Center, Elma

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Summit Pacific Medical Center publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$2,297 – $2,9533 plans$714
Medicare AdvantageInsurer rates$820 – $8693 plans$126 – $134
Medicaid managed careInsurer rates$758 – $8343 plans$397 – $436
Other government programInsurer rates$8201 plan$126
UnknownInsurer rates$758 – $2,7893 plans$175 – $397
Cash pricePaying yourself, without insurance$1,772$883
List priceBefore any discount; few people pay it$3,281$1,635

Lowest and highest amounts Summit Pacific Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-31. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe test or scan: equipment and staff—The price above
Reading doctorThe doctor who reads it (often a radiology group)Reading the results and writing the report$126$149 – $226

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 95811 at every Washington hospital, with Medicare’s reference amounts.