CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: McGehee Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $345
Cash Discount Price: $997
vs. Medicare Baseline: 0.39x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at McGehee Hospital is $345. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $997. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.39x the Medicare baseline. Located in 900 South Third Street, McGehee, AR.

Cash / Self-Pay

$997

Average discount available for prompt cash payment at this facility.

Insurance Median

$345

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: $997 (114%)

Insurance Median: $345 (39%)

Cash: $997 (114% of Medicare)

Ins. Median: $345 (39% 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.

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
Arkansas Total Care	$122	14%
Medicaid / KanCare	$122	14%
Medicare (plans)	$127 - $2,399	14%
Vantage Health/Primewell Mcr Adv Ar Ms Only	$127 - $2,321	14%
Wellcare Health Plan Inc Mcr Adv	$127 - $2,321	14%
Humana	$129 - $2,345	15%
Allwell Mcr Adv	$131 - $2,391	15%
Cigna	$207 - $1,579	24%
Municipal Health Benefit Fund	$259 - $1,974	30%
Blue Cross Blue Shield	$345 - $1,215	39%
Qual Choice Of Arkansas	$345 - $2,632	39%
UnitedHealthcare	$2,448	279%

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 $997.
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 McGehee Hospital 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.