CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Davis County Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,049
Cash Discount Price: $3,720
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Davis County Hospital is $2,049. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,720. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.34x the Medicare baseline. Located in 509 North Madison Street, Bloomfield, IA.

Cash / Self-Pay

$3,720

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,049

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: $3,720 (424%)

Insurance Median: $2,049 (234%)

Cash: $3,720 (424% of Medicare)

Ins. Median: $2,049 (234% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 234% of the Medicare baseline (a markup of 134%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$900 - $991	103%
Aetna	$1,860	212%
Choicecare Mcr Adv	$2,009	229%
Home State Hlth Exch - All Other Plans	$2,009	229%
Home State Hlth Mcr	$2,009	229%
Mt Carmel Hp-All Plans	$2,009	229%
Tricare	$2,009	229%
Amerigroup Mcr Adv-All Other Plans	$2,049	234%
American Hp Mcr Adv-All Plans	$2,109	240%
Home State Hlth Mcaid	$2,232	254%
Iowa Total Care Mcaid-All Plans	$2,277	260%
Molina Mcaid-All Plans	$2,310	263%
Amerigroup Mcaid	$2,321	265%
Midlands Choice - All Plans	$2,604	297%
Preferred Hlth Choices - All Plans	$2,790	318%
Choicecare Comm - All Other Plans	$3,534	403%

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 $3,720.
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 Davis County 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.