CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Cox Medical Center Branson

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $896
Cash Discount Price: $1,326
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Cox Medical Center Branson is $896. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,326. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.02x the Medicare baseline. Located in 525 Branson Landing Blvd, Po Box 650, Branson, MO.

Cash / Self-Pay

$1,326

Average discount available for prompt cash payment at this facility.

Insurance Median

$896

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: $1,326 (151%)

Insurance Median: $896 (102%)

Cash: $1,326 (151% of Medicare)

Ins. Median: $896 (102% 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	$458 - $917	52%
Health Net Federal Services	$458 - $917	52%
Humana	$458 - $917	52%
Medrisk Llc	$458 - $917	52%
UnitedHealthcare	$458 - $917	52%
Blue Cross Blue Shield	$465 - $930	53%
Allwell	$472 - $944	54%
Devoted	$490 - $981	56%
Loren Cook	$872	99%
Src Holdings Corporation	$896	102%
Missouri Affiliated School Consortium (Masc)	$932	106%

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 $1,326.
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 Center Branson 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.