CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Decatur County Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $913
Cash Discount Price: $1,995
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Decatur County Memorial Hospital is $913. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,995. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.04x the Medicare baseline. Located in 720 North Lincoln Street, Greensburg, IN.

Cash / Self-Pay

$1,995

Average discount available for prompt cash payment at this facility.

Insurance Median

$913

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: $1,995 (227%)

Insurance Median: $913 (104%)

Cash: $1,995 (227% of Medicare)

Ins. Median: $913 (104% 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
Aetna	$115 - $3,762	13%
Blue Cross Blue Shield	$115 - $3,238	13%
Caresource Mcr Adv	$115 - $1,507	13%
Choice Care Mcr Adv	$115 - $1,436	13%
Choicecare Commercial-All Other Plans	$115 - $4,604	13%
Encircle-All Plans	$115 - $4,208	13%
Siho Mcr Adv	$115 - $1,436	13%
Thcg/Encore-All Plans	$115 - $4,653	13%
UnitedHealthcare	$115 - $1,436	13%
Caresource Just4Me-All Other Plans	$132 - $2,440	15%
Cigna	$169 - $3,812	19%
Siho-All Other Plans	$258 - $4,802	29%
Sagamore Health-All Plans	$295 - $3,960	34%
Healthsource Indiana-All Plans	$332 - $4,455	38%
Medicaid / KanCare	$564 - $913	64%

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 $1,995.
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 Decatur 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.