Sleep study (overnight, in lab)
Facility: Cheyenne County Hospital
Billing Code: 95810 (CPT)
- CPT Billing Code: 95810
- Insurance Median: $2,059
- Cash Discount Price: $1,485
- vs. Medicare Baseline: 2.35x 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 235% of the Medicare baseline (a markup of 135%). 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 |
|---|---|---|
| UnitedHealthcare | $289 - $2,900 | 33% |
| Tricare | $289 - $2,088 | 33% |
| Healthy Blue Mcr Adv | $289 - $2,088 | 33% |
| Choice Care - All Plans | $289 - $2,109 | 33% |
| Aetna | $289 - $2,755 | 33% |
| First Health - All Plans | $417 - $2,030 | 48% |
| Firstguard - All Plans | $476 - $2,320 | 54% |
| Wppa - All Plans | $536 - $2,610 | 61% |
| Preferred Hc - All Plans | $565 - $2,755 | 64% |
| Cpm - All Plans | $565 - $2,755 | 64% |
| Midlands Choice - All Plans | $577 - $2,813 | 66% |
| Health Partners - All Plans | $583 - $2,842 | 66% |
| Unicare - All Plans | $583 - $2,842 | 66% |
| Ppo Next - All Plans | $583 - $2,842 | 66% |
| Integrated Hp - All Plans | $583 - $2,842 | 66% |
| Childrens Mercy - All Plans | $595 - $2,900 | 68% |
| Healthy Blue Mcaid - All Other Plans | $595 - $2,900 | 68% |
| Healthwave Mcaid - All Plans | $595 - $2,900 | 68% |
| Providers Care-All Plans | $893 - $4,350 | 102% |
| Blue Cross Blue Shield | $1,046 | 119% |
Consumer Guidance & Cost Commentary
For CPT code 95810, representing an overnight sleep study at Cheyenne County Hospital, the facility's cash median price of $1,485 is lower than the state average of $2,088. While the hospital's gross charge is $1,748, commercial insurance negotiated rates vary significantly, ranging from a low of $289 to a high of $4,350 across 20 different payers. It is important to note that for patients with high-deductible plans, paying the cash price of $1,485 upfront may be more cost-effective than relying on insurance, as many commercial negotiated rates exceed the cash amount. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative fees associated with insurance claims processing.
When evaluating the cost relative to Medicare, the facility's cash rate of $1,485 is approximately 170% of the Medicare benchmark of $877.34, which aligns with the generally accepted range of fair pricing (120% to 150%) rather than the typical commercial markup of 200% to 300%. If you are using insurance, be aware that while in-network contracts prevent balance billing for emergency services under the No Surprises Act, you must verify your deductible status before scheduling, as you may still be responsible for the full negotiated amount if you have not yet met your out-of-pocket threshold. To ensure you are receiving the most accurate pricing, always request a detailed, itemized bill that lists specific CPT codes rather than accepting a