CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Morris Hospital & Healthcare Centers

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $929
Cash Discount Price: $1,022
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Morris Hospital & Healthcare Centers is $929. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,022. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.06x the Medicare baseline. Located in 150 W High St, Morris, IL.

Cash / Self-Pay

$1,022

Average discount available for prompt cash payment at this facility.

Insurance Median

$929

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: $1,022 (116%)

Insurance Median: $929 (106%)

Cash: $1,022 (116% of Medicare)

Ins. Median: $929 (106% 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
Blue Cross Blue Shield	$127 - $3,936	14%
Caterpillar - All Plans	$133 - $3,690	15%
Capp Care Ppo-Oth	$142 - $3,936	16%
Aetna	$181 - $5,035	21%
Ambetter / Centene	$206 - $5,741	23%
UnitedHealthcare	$215 - $6,315	25%
Choicecare Hum Othr - All Other Plans	$236 - $6,561	27%
Multiplan - All Other Plans	$236 - $6,561	27%
Multiplan Prime Ntwrk	$236 - $6,561	27%
Health Alliance - All Other Plans	$251 - $6,971	29%
Hfn All Plans - All Plans	$251 - $6,971	29%
Choicecare Hum Mcr Ppo	$920	105%
Health Alliance Mcr Adv	$948	108%
Cigna	$3,617 - $6,151	412%

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 $1,022.
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 Morris Hospital & Healthcare Centers 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.