Sleep study with CPAP or bilevel setup, age 6 and older at MVHS, Inc.

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Polysomnography W/Cpap

Utica, NY

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $561 is 65% below the median hospital's median price ($1.6k), higher than 6% of the 2,198 hospitals reporting CPT 95811. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 95811 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 12 payers, 37 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Humana humana military percent of total billed charges · bothfrom % of charges	$73	$73	—	—	—	$73 – $73
2	Tricare humana military percent of total billed charges · bothfrom % of charges	$73	$73	—	—	—	$73 – $73
3	UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
4	Humana humana military percent of total billed charges · inpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
5	Tricare humana military percent of total billed charges · inpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
6	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$257	$257	$215	84%	—	$42 – $473
7	Humana choicecare fee schedule · both	$115	$260	$247	95%	—	$57 – $607
8	Humana humana medicare advantage fee schedule · both	$115	$260	$247	95%	1–10	$57 – $607
9	Medicare medicare fee schedule · both	$121	$285	$276	97%	18	$61 – $674
10	WellCare wellcare fee schedule · both	$125	$294	$284	97%	1–10	$62 – $695
11	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$154	$348	$331	95%	—	$77 – $814
12	Cigna mvp hmo/ppo fee schedule · both	$162	$365	$347	95%	—	$81 – $854
13	Medical Mutual worker's compensation and no fault fee schedule · outpatient	$561	$561	—	—	—	$561 – $561
14	Humana humana military fee schedule · both	$577	$577	—	—	—	$577 – $577
15	Tricare humana military fee schedule · both	$577	$577	—	—	—	$577 – $577
16	UnitedHealthcare uhc empire plan fee schedule · outpatient	$711	$711	—	—	—	$711 – $711
17	Excellus excellus bcbs medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Humana humana medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Medicare medicare other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Optum vaccn optum other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	UnitedHealthcare uhc medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Aetna aetna medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	WellCare wellcare medicare advantage other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	Humana humana military other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
25	Tricare humana military other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Page 1 of 2 · 37 rates

Last updated: Aug 7, 2026

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