Sleep study (overnight, in lab)
Facility: Via Christi Hospital Wichita St Teresa, 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% |
| Humana | $941 | 107% |
| Via Christi Research | $941 | 107% |
| Saint Lukes Health Systems | $941 | 107% |
| Va | $941 | 107% |
| Vc Hope | $941 | 107% |
| Medicare (plans) | $941 - $960 | 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), the negotiated rates across 13 payers range from $704 to $3,190, with a median negotiated amount of $960. This commercial rate is significantly higher than the Medicare benchmark of $877.34, reflecting the typical markup found in commercial contracts where administrative costs and claim processing inflate the baseline price. While the facility is located in Wichita, KS, and serves the 67235 zip code, the data provided does not include specific county or state average comparisons for this service, so patients should rely on the Medicare rate as the objective cost baseline to evaluate potential markups.
Patients should be aware that cash-pay options may offer a lower total cost than the insurance negotiated rate, particularly for those with high-deductible plans who have not yet met their out-of-pocket maximum. Although the cash median and specific self-pay discounts are not listed in the current data, it is standard practice for hospitals to offer prompt-pay discounts of 20% to 50% for upfront payments. To secure the best price, patients should explicitly request a self-pay classification and a prompt-pay discount before scheduling, and they should verify their deductible status to ensure they are not responsible for the full negotiated amount. Additionally, if a balance bill arises, patients should review the itemized statement for errors or unbundled codes, as over 80% of hospital bills contain discrepancies that can be disputed.