Providence Holy Family Hospital — Sleep study prices
← Hospital overviewVerified from Providence Holy Family Hospital’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
14 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC MED BASELINE SLEEP TEST Inpatient & outpatient | 95810 HCPCS | $3,245 | $2,272 | — | — | |
| HC MED BASELINE SLEEP TEST Outpatient | 95810 HCPCS | $2,426 | $1,698 | — | — | |
| HC MED MONTH 3 SLEEP TEST Inpatient & outpatient | 95810 HCPCS | $3,245 | $2,272 | — | — | |
| HC MED MONTH 3 SLEEP TEST Outpatient | 95810 HCPCS | $2,426 | $1,698 | — | — | |
| HC MED SLEEP RE-TEST Inpatient & outpatient | 95810 HCPCS | $3,245 | $2,272 | — | — | |
| HC MED SLEEP RE-TEST Outpatient | 95810 HCPCS | $2,426 | $1,698 | — | — | |
| HC POLYSOMNOGRAM REDUCED SERVICE Inpatient & outpatient | 95810 HCPCS | $3,862 | $2,703 | — | — | |
| HC POLYSOMNOGRAPHY 4 OR MORE Inpatient & outpatient | 95810 HCPCS | $4,635 | $3,245 | — | — | |
| HC POLYSOMNOGRAPHY 4 OR MORE Outpatient | 95810 HCPCS | $2,426 | $1,698 | — | — | |
| HC POLYSOMNOGRAPHY W/CPAP Inpatient & outpatient | 95811 HCPCS | $5,103 | $3,572 | — | — | |
| HC POLYSOMNOGRAPHY W/CPAP Outpatient | 95811 HCPCS | $2,426 | $1,698 | — | — | |
| HC POLYSOMNOGRAPHY W/CPAP REDUCED Inpatient & outpatient | 95811 HCPCS | $5,103 | $3,572 | — | — | |
| HC POLYSOMNOGRAPHY W/CPAP REDUCED Outpatient | 95811 HCPCS | $2,426 | $1,698 | — | — | |
| HC SLEEP STUDY UNATT&RESP EFFT Inpatient & outpatient | 95806 HCPCS | $487 | $341 | — | — |