CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Van Diest Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,188
Cash Discount Price: $2,501
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Van Diest Medical Center is $2,188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,501. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.49x the Medicare baseline. Located in 2350 Hospital Drive, Webster City, IA.

Cash / Self-Pay

$2,501

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,188

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: $2,501 (285%)

Insurance Median: $2,188 (249%)

Cash: $2,501 (285% of Medicare)

Ins. Median: $2,188 (249% 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 249% of the Medicare baseline (a markup of 149%). 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
Humana	$1,407	160%
Medical Associates	$1,407 - $2,344	160%
Amerigroup	$1,421 - $1,803	162%
Partners Health Alliance	$1,618	184%
Aetna	$1,782 - $2,813	203%
Iowa Total Care	$1,786	204%
Molina Healthcare	$1,812	207%
UnitedHealthcare	$1,844 - $2,813	210%
Midlands Choice	$2,188	249%
Health Alliance-Midwest, Inc. Of Ia	$2,344	267%

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 $2,501.
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 Van Diest Medical Center 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.