CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Gibson General Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $683
  • Cash Discount Price: $1,743
  • vs. Medicare Baseline: 0.78x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Gibson General Hospital is $683. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,743. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.78x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$1,743

Average discount available for prompt cash payment at this facility.

Insurance Median
$683

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: $1,743 (199%)
Insurance Median: $683 (78%)
Cash: $1,743 (199% of Medicare)
Ins. Median: $683 (78% 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
Blue Cross Blue Shield $79 - $6,021 9%
Medicaid / KanCare $79 - $399 9%
Meridiancare (Il) $79 - $1,052 9%
Meridianhealth (Il) $79 - $399 9%
Aetna $109 - $2,569 12%
Caresource Just For Me $109 - $1,052 12%
Medicare (plans) $109 - $1,052 12%
Meridiancomplete (Il) $109 - $1,052 12%
Mytruadvantage $109 - $1,052 12%
UnitedHealthcare $109 - $2,302 12%
Va Ccn $109 - $1,052 12%
Caresource $110 - $568 13%
Mdwise Plans $110 - $568 13%
Mhs $110 - $568 13%
Ambetter / Centene $136 - $1,052 16%
Caresource In Marketplace $141 - $1,825 16%
Encircle/Encore Combined $145 - $2,796 17%
Encircle/Encore Prime $145 - $2,467 17%
Alliance Coal $152 - $822 17%
Claimdoc $152 - $2,796 17%
Deaconess Onecare $163 - $2,730 19%
Hopetrust $163 - $2,796 19%
Hstechnology $163 - $2,796 19%
Noncontracted $174 - $1,684 20%
Ky Racing Health & Welfare Fund $184 - $1,776 21%
Self-Pay $184 - $1,743 21%
Cigna $210 - $2,894 24%
First Health $210 - $2,960 24%
Healthlink Hmo $210 - $2,960 24%
Healthlink Ppo $210 - $2,960 24%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $210 - $2,894 24%
Chambercare $315 - $2,631 36%
Gibson County Sheriff $446 - $2,796 51%
Integrated Health $472 - $2,960 54%
Principal Health Care $472 - $2,960 54%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1808 Sherman Drive, Princeton, IN 47670
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals