CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Kosciusko Community Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $865
  • Cash Discount Price: $320
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Kosciusko Community Hospital is $865. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$320

Average discount available for prompt cash payment at this facility.

Insurance Median
$865

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: $320 (36%)
Insurance Median: $865 (99%)
Cash: $320 (36% of Medicare)
Ins. Median: $865 (99% 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
Lutheran Preferred Network $88 - $7,262 10%
Physicians Health Plan $103 - $4,183 12%
Php Freedom Network $107 - $3,506 12%
Self Pay $108 - $3,540 12%
UnitedHealthcare $108 - $4,775 12%
Encore $111 - $3,631 13%
Trma Inc $111 - $4,085 13%
Aetna $114 - $4,830 13%
Connecticut General Life Insurance Company $164 - $5,347 19%
Cigna $176 - $5,737 20%
First Health Network $208 - $6,808 24%
Prime Health Services $208 - $6,808 24%
Advantage Health $231 - $7,535 26%
Private Healthcare Systems $239 - $7,807 27%
Sagamore $245 - $8,533 28%
Encore Health Network $259 - $8,443 30%
Veterans Eval Services $278 - $455 32%
Amish Aid $309 - $1,906 35%
One Call Care Diagnostics Wc $627 71%
Tricare $863 98%
Department Of Veterans Affairs $909 104%
Blue Cross Blue Shield $957 - $3,734 109%
Humana $957 - $3,560 109%
Medicare (plans) $957 109%
Mhs $957 - $3,560 109%
Iu Health $973 111%
Node Non Par Hospice Agree $973 111%
Node Va $973 111%
Node Devoted Health Mcr Adv $977 111%
In Dept Of Correction $1,012 115%
Node Pphp Mcr Adv $1,022 116%
Us Department Of Labor $1,216 139%
Lutheran Advanced Network $1,460 166%
Lutheran Preferred $1,460 - $1,946 166%
Align In Work Comp $1,557 177%
One Call Work Comp $1,557 177%
Encore Work Comp In $1,752 200%
Managed Health Services Exchange $1,946 222%
Workers Comp $1,946 222%
Encore Kba Epo $2,335 266%
Caresource $2,738 - $3,560 312%
Encore Kba Ppo $2,919 333%
Managed Health Services $3,560 406%
Medicaid / KanCare $3,560 406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals