Sleep study (overnight, in lab)
Facility: Menorah Medical Center
Billing Code: 95810 (CPT)
- CPT Billing Code: 95810
- Insurance Median: $3,217
- Cash Discount Price: $12,593
- vs. Medicare Baseline: 3.67x 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 367% of the Medicare baseline (a markup of 267%). 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 |
|---|---|---|
| United | $383 - $5,667 | 44% |
| Amerigroup | $383 | 44% |
| Healthyblue | $391 | 45% |
| Medicaid / KanCare | $395 | 45% |
| Unicare | $398 | 45% |
| Aetna | $398 - $6,422 | 45% |
| Home State Health Plan | $911 | 104% |
| Cigna | $1,376 - $10,074 | 157% |
| Humana | $1,391 - $1,729 | 159% |
| Blue Cross Blue Shield | $1,637 - $5,667 | 187% |
| Ambetter / Centene | $2,342 | 267% |
| Nhc Advantage | $2,393 | 273% |
| Oscar | $2,393 | 273% |
| Wppa Providrs Care Network | $2,519 | 287% |
| Universal Healthcare | $4,407 | 502% |
| Coventry | $5,062 | 577% |
| Coventry Kc Mo | $5,163 | 588% |
| College Park Family Care Center | $5,415 | 617% |
| Oha Network | $6,296 | 718% |
| Multiplan | $6,674 - $10,074 | 761% |
| Corvel Corporation | $8,185 | 933% |
| Cco, Inc. | $9,445 | 1077% |
| Focus Healthcare Mgmt, Inc | $9,445 | 1077% |
| Triwest Health Alliance | $9,445 | 1077% |
Consumer Guidance & Cost Commentary
For this sleep study procedure at Menorah Medical Center in Overland Park, KS, the cash price is $12,593, which matches the facility's median paid amount. While the facility's negotiated rates with insurance plans range from $383 to $10,074, the cash price is notably higher than the median negotiated rate of $3,217 reported for this service. Patients with high-deductible plans should consider that paying cash upfront might be more cost-effective than relying on insurance, as the negotiated rates charged by insurers often exceed the cash price. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than self-pay.
The facility's pricing is significantly higher than the Medicare benchmark of $877.34, reflecting a common markup in commercial healthcare pricing. Under federal protections like the No Surprises Act, patients are generally shielded from balance billing for emergency care and non-emergency services at in-network facilities, though unexpected ancillary charges from out-of-network providers can still occur. To ensure transparency, patients should request a full itemized bill before paying, as summary invoices may hide unbundled codes or services not rendered. Additionally, asking the hospital about prompt-pay discounts or self-pay rates prior to check-in can help avoid surprise bills and secure immediate liquidity benefits.