Sleep study (overnight, in lab)
Facility: Ascension Via Christi Rehabilitation Hospital 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 |
|---|---|---|
| Aetna | $496 - $3,190 | 57% |
| UnitedHealthcare | $704 - $2,635 | 80% |
| Va | $941 | 107% |
| Humana | $941 | 107% |
| Medicare (plans) | $941 - $960 | 107% |
| Vc Hope | $941 | 107% |
| Blue Cross Blue Shield | $960 | 109% |
| Smarthealth | $1,035 - $1,317 | 118% |
| Medicaid / KanCare | $1,600 | 182% |
| Providrs Care | $1,797 | 205% |
| Coventry City Of Wichita | $1,904 | 217% |
Consumer Guidance & Cost Commentary
For the sleep study (overnight, in lab) procedure at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $496 to $3,190 depending on your specific insurance plan. While the lowest negotiated rate of $496 offered by Aetna is significantly lower than the facility's median negotiated rate of $960, it is important to note that commercial rates often exceed the true cost of care. Medicare, which serves as the objective baseline for pricing, sets the allowed amount at $877.34. In this case, the facility's median negotiated rate of $960 is approximately 11% higher than the Medicare benchmark, which aligns with fair pricing standards typically defined between 120% and 150% of the Medicare rate. Commercial contracts often include administrative overhead that inflates the baseline price, so comparing your specific plan's allowed amount directly to the Medicare rate provides a clearer picture of the actual cost than looking at the hospital's full chargemaster list.
Patients should consider that paying cash or using a self-pay discount might result in a lower total cost than using insurance, particularly if your plan has a high deductible or if the insurance negotiated rate exceeds the cash price. The data indicates no specific cash or median paid values were reported for this service, but facilities frequently offer prompt-pay discounts of 20% to 50% for upfront payments to bypass costly claims processing and administrative delays. Before scheduling, it is advisable to contact the hospital directly to confirm their self-pay or prompt-pay rates and request a waiver of insurance submission to ensure the cash discount is applied correctly. Additionally, if you receive an