Sleep study (overnight, in lab)
Facility: Meade District Hospital
Billing Code: 95810 (CPT)
- CPT Billing Code: 95810
- Insurance Median: $1,387
- Cash Discount Price: $2,783
- vs. Medicare Baseline: 1.58x 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 |
|---|---|---|
| Blue Cross Blue Shield | $1,387 | 158% |
Consumer Guidance & Cost Commentary
For the CPT code 95810, representing an overnight sleep study at Meade District Hospital in Meade, Kansas, the cash median price is $2,783.00. This cash rate is significantly higher than the state average, as indicated by a ratio of 1.6 times the Medicare benchmark of $877.34. While the facility is a Critical Access Hospital owned by a government hospital district, the negotiated rate with Blue Cross Blue Shield is $1,387.00, which is roughly half the cash price. For patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $2,783.00 upfront could be more cost-effective than relying on insurance, especially since the negotiated rate exceeds the cash price for this specific service.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is crucial to verify network status before scheduling. If you choose to pay out-of-pocket, you should explicitly ask the hospital for "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if paid in full within 30 days. Additionally, if you do receive a bill, request a full itemized CPT-coded statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. Disputing any discrepancies in writing to the billing supervisor is the most effective way to ensure you are only paying for the care you received