CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Hendricks Regional Health

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $909
Cash Discount Price: $1,552
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Hendricks Regional Health is $909. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,552. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.04x the Medicare baseline. Located in 1000 E Main St, Danville, IN.

Cash / Self-Pay

$1,552

Average discount available for prompt cash payment at this facility.

Insurance Median

$909

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: $1,552 (177%)

Insurance Median: $909 (104%)

Cash: $1,552 (177% of Medicare)

Ins. Median: $909 (104% 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	$69 - $1,627	8%
Aetna	$110 - $6,996	13%
Humana	$110 - $6,152	13%
Medicare (plans)	$111 - $954	13%
Encore Health Network	$134 - $6,773	15%
Caresource Exchange	$147 - $927	17%
Multiplan	$147 - $6,550	17%
Multiplan/ Complementary	$147 - $7,145	17%
Multiplan/Beech Street	$147 - $7,071	17%
Ambetter / Centene	$152 - $1,817	17%
Cigna	$156 - $5,508	18%
UnitedHealthcare	$177 - $5,307	20%
Sagamore Health Incumbent Program	$239 - $5,381	27%
Sagamorehealth Network	$239 - $5,753	27%
Siho Commercial Network	$252 - $5,954	29%
Va Ccn	$909	104%
Encore Encircle Network	$5,210	594%

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 $1,552.
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 Hendricks Regional Health 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.