CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Lawrence Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $460
Cash Discount Price: $701
vs. Medicare Baseline: 0.52x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Lawrence Memorial Hospital is $460. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $701. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.52x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$701

Average discount available for prompt cash payment at this facility.

Insurance Median

$460

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: $701 (80%)

Insurance Median: $460 (52%)

Cash: $701 (80% of Medicare)

Ins. Median: $460 (52% 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
Ambetter / Centene	$107 - $911	12%
Humana	$107 - $708	12%
Allwell	$112 - $736	13%
Blue Cross Blue Shield	$112 - $887	13%
Wellcare	$112 - $1,230	13%
Amerigroup	$113 - $701	13%
Arkansas Superior Select	$115 - $684	13%
Provider Partners Health Plans	$115 - $684	13%
Wellcare By Allwell	$115 - $684	13%
Wellcare Health Plans	$115 - $684	13%
Arkansas Total Care	$122 - $438	14%
Qualchoice	$123 - $911	14%
Qualchoice Of Arkansas	$126 - $847	14%
Cigna	$128 - $701	15%
Empower Healthcare Solutions	$128 - $460	15%
Covenant Healthcare	$141 - $891	16%
Aetna	$173 - $984	20%
Assured Benefits Administrators	$175 - $1,043	20%
Caresource	$187 - $282	21%
Healthlink	$353 - $1,144	40%

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 $701.
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 Lawrence Memorial 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.