CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mercy Hospital Washington

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,761
Cash Discount Price: $4,602
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mercy Hospital Washington is $2,761. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,602. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.15x the Medicare baseline. Located in 901 East 5Th Street, Washington, MO.

Cash / Self-Pay

$4,602

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,761

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: $4,602 (525%)

Insurance Median: $2,761 (315%)

Cash: $4,602 (525% of Medicare)

Ins. Median: $2,761 (315% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 315% of the Medicare baseline (a markup of 215%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$460 - $1,912	52%
Aetna	$945 - $2,478	108%
American Health Advantage Of Mo Mcr [10473]	$945	108%
Blue Cross Blue Shield	$945 - $6,372	108%
Cherokee Nation Health Serv Contracted [320066]	$945	108%
Cross Timbers Hospice [20098]	$945	108%
Dept Of Veteran Affairs Contracted [320106]	$945	108%
Elara Caring Aspire Hospice Contracted [320433]	$945	108%
Elara Caring Aspire Hospice [20433]	$945	108%
Globalhealth Contracted [320145]	$945	108%
Halo Hcr Inc Hospice Contracted [320432]	$945	108%
Halo Hcr Inc Hospice [20432]	$945	108%
Humana	$945	108%
Kindful Hospice Contracted [320434]	$945	108%
Kindful Hospice [20434]	$945	108%
Medicare (plans)	$945 - $7,080	108%
Mercy Hospice Okc [20252]	$945	108%
Pace Of The Ozarks Contracted [320518]	$945	108%
Qual Choice Contracted [320325]	$945	108%
Tricare	$945	108%
UnitedHealthcare	$945 - $2,043	108%
Cigna	$964 - $3,186	110%
Hope Trust Contracted [320488]	$964	110%
Provider Partners Health Plans Contracted [320450]	$1,042	119%
Healthscope Contracted [320182]	$1,205	137%
Centivo Contracted [320505]	$1,590	181%
Preferred Health Plan Contracted [320522]	$1,686	192%
Medica Contracted [320239]	$1,848	211%
Ambetter / Centene	$1,912	218%
Home State Health Plan Contracted [320187]	$1,912	218%
Novasys Contracted [320285]	$1,912	218%
United Medical Resources Contracted [320454]	$2,043	233%
Aither Health Contracted [320449]	$2,761	315%
Aither Health [20449]	$2,761	315%
Auxiant Contracted [320462]	$2,761	315%
Ebms Contracted [320493]	$2,761	315%
Edison Health Solutions Contracted [320502]	$2,761	315%
Healthlink Contracted [320179]	$2,761 - $4,814	315%
Imagine 360 Contracted [320494]	$2,761	315%
Mercy Benefit Admin Contracted [320251]	$2,761 - $3,540	315%
Mercy Benefit Admin [20251]	$2,761 - $3,540	315%
Reflect Health Contracted [320492]	$2,761	315%
Show-Me Health Administrators Contracted [320483]	$2,761	315%
Yuzu Health Contracted [320521]	$2,761	315%
Health Choices Contracted [320448]	$4,248	484%
Health Choices [20448]	$4,248	484%
Medical Associates Health Contracted [320444]	$4,248	484%
Federal Medical Center Contracted [320127]	$4,602	525%
Insurance System Inc Contracted [320465]	$4,602	525%
Point C Contracted [320238]	$4,602	525%
Tri State Healthcare Coalition Contracted [320379]	$4,602	525%
First Health Contracted [320128]	$4,956 - $5,027	565%
Mercy Mgd Behavioral Health Contracted [320259]	$4,956	565%
Multiplan Contracted [320270]	$4,956 - $5,310	565%
Private Health Care Systems Contracted [320320]	$4,956	565%
Workers Comp [20426]	$5,310 - $5,664	605%

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 $4,602.
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 Mercy Hospital Washington 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.