CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Henry County Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $921
Cash Discount Price: $2,721
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Henry County Memorial Hospital is $921. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,721. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 1000 N 16Th St, New Castle, IN.

Cash / Self-Pay

$2,721

Average discount available for prompt cash payment at this facility.

Insurance Median

$921

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: $2,721 (310%)

Insurance Median: $921 (105%)

Cash: $2,721 (310% of Medicare)

Ins. Median: $921 (105% 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
UnitedHealthcare	$100 - $4,996	11%
Humana	$109 - $5,401	12%
Blue Cross Blue Shield	$115 - $4,697	13%
Caresource Hip	$115 - $921	13%
Caresource Mcr Adv	$117 - $940	13%
Aetna	$123 - $5,217	14%
Encore Workers Comp-All Plans	$130 - $5,831	15%
Caresource Marketplace-All Other Plans	$155 - $1,750	18%
Caresource Just4Me	$173 - $2,303	20%
Caresource Mcaid	$581 - $940	66%
Cigna	$818 - $4,174	93%
Health Alliance-All Plans	$1,390 - $5,217	158%
Workers Comp - All Plans	$1,472 - $5,524	168%

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 $2,721.
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 Henry County Memorial 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.