CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,991
Cash Discount Price: $3,555
vs. Medicare Baseline: 2.27x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Cameron Memorial Community Hospital Inc is $1,991. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,555. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.27x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$3,555

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,991

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: $3,555 (405%)

Insurance Median: $1,991 (227%)

Cash: $3,555 (405% of Medicare)

Ins. Median: $1,991 (227% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 227% of the Medicare baseline (a markup of 127%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$200 - $3,704	23%
Caresource Indiana Of In	$200 - $2,180	23%
Managed Health Services	$200 - $568	23%
Mdwise	$200 - $568	23%
Aetna	$564 - $5,119	64%
Cigna	$564 - $5,113	64%
Corvel	$564 - $5,510	64%
Encore	$564 - $5,454	64%
Humana	$564 - $5,117	64%
Phcs	$564 - $4,444	64%
Plain Church Group Ministry	$564 - $2,311	64%
Sagamore Health Network	$564 - $4,574	64%
Frontpath	$634 - $5,451	72%
Coventry	$677 - $5,214	77%
Three Rivers Preferred	$677 - $67,700	77%
Lutheran Preferred	$734 - $5,332	84%
Lucent	$789 - $3,223	90%
Signature Care	$853 - $5,214	97%
Centivo	$874 - $3,223	100%
UnitedHealthcare	$885 - $4,669	101%
Php	$908 - $4,493	103%

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 $3,555.
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 Cameron Memorial Community Hospital Inc 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.