CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mercy Hospital Berryville

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $854
  • Cash Discount Price: $1,151
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mercy Hospital Berryville is $854. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,151. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.97x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.
Cash / Self-Pay
$1,151

Average discount available for prompt cash payment at this facility.

Insurance Median
$854

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: $1,151 (131%)
Insurance Median: $854 (97%)
Cash: $1,151 (131% of Medicare)
Ins. Median: $854 (97% 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.

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
Medicaid / KanCare $122 - $1,645 14%
Summit Community Care Contracted [320368] $122 14%
Summit Community Care [20368] $122 14%
Tricare $209 - $1,104 24%
Mercy Interfacility [20513] $234 - $1,238 27%
Arkansas Total Care Contracted [320039] $277 32%
Ambetter / Centene $312 - $1,645 36%
Home State Health Plan Contracted [320187] $312 - $1,645 36%
Novasys Contracted [320285] $326 - $1,720 37%
Administrative Payor Contracted [320005] $362 - $1,911 41%
Auxiant Contracted [320462] $482 - $3,821 55%
United Medical Resources Contracted [320454] $482 - $3,609 55%
UnitedHealthcare $482 - $2,199 55%
Healthlink Contracted [320179] $523 - $3,609 60%
Mercy Benefit Admin Contracted [320251] $523 - $3,609 60%
Personify Health Contracted [320051] $523 - $2,760 60%
Preferred Health Plan Contracted [320522] $523 - $2,760 60%
Aetna $619 - $1,083 71%
American Health Advantage Of Mo Mcr [20264] $619 - $1,083 71%
Blue Cross Blue Shield $619 - $1,215 71%
Cherokee Nation Health Serv Contracted [320066] $619 - $1,083 71%
Cross Timbers Hospice [20098] $619 - $1,083 71%
Dept Of Veteran Affairs Contracted [320106] $619 - $1,083 71%
Elara Caring Aspire Hospice [20433] $619 - $1,083 71%
Globalhealth Contracted [320145] $619 - $1,083 71%
Halo Hcr Inc Hospice Contracted [320432] $619 - $1,083 71%
Halo Hcr Inc Hospice [20432] $619 - $1,083 71%
Humana $619 - $3,609 71%
Independent Health [20197] $619 - $1,083 71%
Indian Health Service Contracted [320198] $619 - $1,083 71%
Indian Health Service [20198] $619 - $1,083 71%
Jordan Valley Senior Care Pace [20515] $619 - $1,083 71%
Kindful Hospice Contracted [320434] $619 - $1,083 71%
Kindful Hospice [20434] $619 - $1,083 71%
Medical Associates Health [20444] $619 - $1,083 71%
Medicare (plans) $619 - $1,137 71%
Mercy Hospice Okc [20252] $619 - $1,083 71%
Mercy Mgd Behavioral Health Contracted [320259] $619 - $1,083 71%
Pace Of The Ozarks [20518] $619 - $1,083 71%
Provider Partners Health Plans Contracted [320450] $619 - $1,083 71%
Qual Choice Contracted [320325] $619 - $1,083 71%
Spina Bifida Hlthcare Benefit [20506] $619 - $1,083 71%
Valir Pace [20503] $619 - $1,083 71%
Wellfirst Health Mcr [20443] $619 - $1,083 71%
Healthscope Contracted [320182] $625 - $1,354 71%
Insurance System Inc Contracted [320465] $643 - $3,397 73%
Point C Contracted [320238] $643 - $3,397 73%
Cigna $649 - $1,137 74%
Medica Contracted [320239] $680 - $3,592 78%
90 Degree Benefits Contracted [320436] $683 - $3,609 78%
Aither Health Contracted [320449] $683 - $3,609 78%
Benefit Management Contracted [320052] $683 - $3,609 78%
Ebms Contracted [320493] $683 - $3,609 78%
Edison Health Solutions Contracted [320502] $683 - $3,609 78%
First Health Contracted [320128] $683 - $3,609 78%
Healthsmart Preferred Care Contracted [320184] $683 - $3,609 78%
Imagine 360 Contracted [320494] $683 - $3,609 78%
Ppo Plus Contracted [320310] $683 - $3,609 78%
Reflect Health Contracted [320492] $683 - $3,609 78%
Show-Me Health Administrators Contracted [320483] $683 - $3,609 78%
Multiplan Contracted [320270] $764 - $4,034 87%
Private Health Care Systems Contracted [320320] $764 - $4,034 87%
Qual Choice Contracted [320324] $1,890 215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 214 Carter Street, Berryville, AR 72616
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals