CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Perry County Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,613
Cash Discount Price: $2,827
vs. Medicare Baseline: 2.98x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Perry County Memorial Hospital is $2,613. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,827. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.98x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$2,827

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,613

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: $2,827 (322%)

Insurance Median: $2,613 (298%)

Cash: $2,827 (322% of Medicare)

Ins. Median: $2,613 (298% 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 298% of the Medicare baseline (a markup of 198%). 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
Medicaid / KanCare	$691 - $5,074	79%
Veterans Administration	$751 - $5,074	86%
Bc 130	$781 - $4,054	89%
Group Insurance	$781 - $5,074	89%
Medicare (plans)	$781 - $1,319	89%
Workers Compensation	$1,502 - $2,537	171%
Nsa	$1,765 - $3,132	201%
Guarantor Liable	$2,102 - $5,074	240%
Pcmh Insurnace	$2,342 - $5,074	267%
Secondary Insurance	$2,399 - $4,054	273%
UnitedHealthcare	$2,399 - $4,054	273%
Operating Engineers	$2,553 - $4,313	291%
Boilermakers Healthcare	$2,613 - $4,414	298%
Cigna	$2,613 - $4,414	298%
Great West	$2,613 - $5,074	298%
Sagxxxx	$2,613 - $4,414	298%
Champus	$3,003 - $5,074	342%
Ngs American, Inc	$3,003 - $5,074	342%
Patoka Valley	$3,003 - $5,074	342%
Southwire	$3,003 - $5,074	342%
Tricare	$3,003 - $5,074	342%
Wausau Benefits	$3,003 - $5,074	342%

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 $2,827.
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 Perry 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.