CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Deaconess Illinois Crossroads

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $860
  • Cash Discount Price: $1,251
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Deaconess Illinois Crossroads is $860. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,251. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$1,251

Average discount available for prompt cash payment at this facility.

Insurance Median
$860

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: $1,251 (143%)
Insurance Median: $860 (98%)
Cash: $1,251 (143% of Medicare)
Ins. Median: $860 (98% 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
Aetna $79 - $4,493 9%
Blue Cross Blue Shield $79 - $2,701 9%
Meridian Health Plan $79 - $1,061 9%
Molina Healthcare Of Illinois $79 - $1,071 9%
Wellcare $79 - $1,061 9%
Humana $108 - $4,436 12%
Mytru Advantage $108 - $1,061 12%
Umwa $108 - $1,061 12%
UnitedHealthcare $108 - $3,299 12%
Alliance Coal $150 - $1,750 17%
Deaconess Onecare $163 - $3,128 19%
Alter-Net Medical Services, Inc. $173 - $3,023 20%
Noncontracted $173 - $1,697 20%
Self-Pay $184 - $1,251 21%
Cigna $204 - $2,212 23%
Prime Health Services $394 - $4,265 45%
Guardian Resources, Inc. $441 - $4,777 50%
Healthcare'S Finest Network (Hfn) $446 - $4,834 51%
Medicalcontrol Network Solutions $446 - $4,834 51%
National Provider Network $446 - $4,834 51%
Three Rivers Provider Network $457 - $4,948 52%
Beech Street $462 - $5,005 53%
Care Improvement Plus $1,082 123%
Hope Trust $1,990 - $3,023 227%
Wexford Health Sources $2,559 - $3,981 292%
Encore Prime/Elite/Elite + $3,122 - $3,225 356%
Encore Combined $3,469 - $3,583 395%
Great West Healthcare Of Illinois $4,265 486%
Multiplan - Primary Network - Phcs $4,464 509%
Healthlink $4,550 - $4,834 519%
Coventry Healthcare $4,789 546%
First Health $4,789 546%
Multiplan - Complementary Network $4,857 554%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals