CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Cox Medical Centers

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $870
Cash Discount Price: $1,472
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Cox Medical Centers is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,472. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 3801 South National Avenue, Springfield, MO.

Cash / Self-Pay

$1,472

Average discount available for prompt cash payment at this facility.

Insurance Median

$870

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)

Cash / Self-Pay: $1,472 (168%)

Insurance Median: $870 (99%)

Cash: $1,472 (168% of Medicare)

Ins. Median: $870 (99% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cox Healthplans	$428 - $856	49%
Health Net Federal Services	$428 - $856	49%
Humana	$428 - $856	49%
Medrisk Llc	$428 - $856	49%
UnitedHealthcare	$428 - $2,385	49%
Blue Cross Blue Shield	$434 - $869	49%
Allwell	$441 - $882	50%
Devoted	$458 - $916	52%
Provider Partners Health Plan	$458 - $916	52%
Parkcrest Dental Group	$830	95%
Coastal Energy Corporation	$838	96%
Heart Of America Beverage Company	$855	97%
Loren Cook	$872	99%
Springfieldgreene Co Library	$889	101%
Src Holdings Corporation	$896	102%
Ozark Anesthesia Assoc. Inc	$907	103%
Missouri Affiliated School Consortium (Masc)	$932	106%
Justice Furniture And Bedding Co	$936	107%
The Durham Company	$936	107%
Ozark County	$942	107%
Ozarks Cocacola	$952	109%
Flora Farms	$969	110%
Advanced Concrete Technology	$979	112%
Bjc Health Solutions	$4,232 - $5,841	482%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,472.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 95810.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cox Medical Centers is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 95810.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.