Sleep study (overnight, in lab)
Facility: Salina Regional Health Center
Billing Code: 95810 (CPT)
- CPT Billing Code: 95810
- Insurance Median: $4,652
- Cash Discount Price: $3,794
- vs. Medicare Baseline: 5.30x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 530% of the Medicare baseline (a markup of 430%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $1,105 - $1,164 | 126% |
| Preferred Phsic | $3,101 - $3,402 | 353% |
| Preferred Healthcare - All Other Plans | $4,187 - $4,593 | 477% |
| Aetna | $4,652 - $5,103 | 530% |
| Providers Care (Wppa)-All Plans | $4,652 - $5,103 | 530% |
| Multiplan (Mpi)-All Plans | $4,652 - $5,103 | 530% |
| Cigna | $4,652 - $5,103 | 530% |
Consumer Guidance & Cost Commentary
For the sleep study (overnight, in lab) service at Salina Regional Health Center in Salina, KS, the facility's cash median price of $3,794 is lower than the state average, which sits at $4,622. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and Preferred Phsic range from $1,105 to $3,402, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. It is important to note that commercial rates can sometimes be higher than cash prices due to administrative costs and contract dynamics, so verifying the specific allowed amount for your plan is essential before scheduling. Additionally, patients should inquire about self-pay or prompt-pay discounts, which can reduce the final bill by 20% to 50% if paid upfront, bypassing the costly claims processing cycle.
When evaluating costs, it is critical to compare rates against the Medicare benchmark rather than the hospital's gross charge list, as the latter is often inflated. The Medicare amount for this procedure is $877.34, and the facility's negotiated rate of $4,652 represents a significant markup relative to this federal baseline. To ensure you are receiving fair pricing, request an itemized billing audit to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain inaccuracies. Finally, be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, you should still review your specific plan details to confirm you are not subject to unexpected charges for ancillary services.