Sleep study (overnight, in lab)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 95810 (CPT)
- CPT Billing Code: 95810
- Insurance Median: $960
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.09x 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.
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 |
|---|---|---|
| UnitedHealthcare | $704 - $2,635 | 80% |
| Saint Lukes Health Systems | $941 | 107% |
| Humana | $941 | 107% |
| Medicare (plans) | $941 - $960 | 107% |
| Vc Hope | $941 | 107% |
| Va | $941 | 107% |
| Via Christi Research | $941 | 107% |
| Blue Cross Blue Shield | $960 | 109% |
| Smarthealth | $1,035 - $1,317 | 118% |
| Corizon | $1,176 | 134% |
| Medicaid / KanCare | $1,600 | 182% |
| Coventry City Of Wichita | $1,904 | 217% |
| Aetna | $2,137 - $3,190 | 244% |
Consumer Guidance & Cost Commentary
For the sleep study procedure (CPT 95810) at Ascension Via Christi Hospitals Wichita, Inc., the negotiated rates paid by insurance plans range from $704 to $3,190, with a median negotiated amount of $960. This facility is located in Wichita, Kansas, and its pricing aligns closely with the state average, as the median negotiated rate of $960 matches the statewide benchmark for this service. While the facility's cash price is not listed in the current data, patients with high-deductible plans should be aware that paying cash upfront can sometimes be more cost-effective than using insurance, particularly if the insurance negotiated rate exceeds the cash price. It is highly recommended to contact the hospital directly to inquire about self-pay discounts or prompt-pay incentives, which can significantly reduce the final bill.
When reviewing your bill, it is important to distinguish between the facility's negotiated rates and the Medicare benchmark, which serves as a reliable baseline for fair pricing. The Medicare amount for this procedure is $877.34, and the facility's negotiated rates generally fall within the expected range of 120% to 150% of this benchmark, indicating a standard markup typical for commercial contracts. If you receive a bill that appears higher than expected, you should request an itemized audit to verify that all charges correspond to services actually rendered and that no unbundled codes or duplicate billing occurred. Additionally, under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, so any unexpected charges should be disputed immediately with your insurer rather than paid out of pocket.