CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Belton Regional Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $4,133
Cash Discount Price: $17,184
vs. Medicare Baseline: 4.71x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Belton Regional Medical Center is $4,133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,184. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.71x the Medicare baseline. Located in 17065 S 71 Highway, Belton, MO.

Cash / Self-Pay

$17,184

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,133

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: $17,184 (1959%)

Insurance Median: $4,133 (471%)

Cash: $17,184 (1959% of Medicare)

Ins. Median: $4,133 (471% 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 471% of the Medicare baseline (a markup of 371%). 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
United	$383 - $7,733	44%
Healthyblue	$391	45%
Medicaid / KanCare	$395	45%
Aetna	$398 - $8,764	45%
Amerigroup	$398	45%
Unicare	$398	45%
Home State Health Plan	$406	46%
Cigna	$1,376 - $2,052	157%
Humana	$1,391 - $1,729	159%
Blue Cross Blue Shield	$2,234 - $9,451	255%
Ambetter / Centene	$3,196	364%
Nhc Advantage	$3,265	372%
Oscar	$3,265	372%
Wppa Providrs Care Network	$3,437	392%
Universal Healthcare	$6,014	685%
Coventry	$6,908	787%
Coventry Kc Mo	$7,045	803%
College Park Family Care Center	$7,389	842%
Oha Network	$8,592	979%
Multiplan	$9,107 - $13,747	1038%
Corvel Corporation	$11,169	1273%
Cco, Inc.	$14,606	1665%
Focus Healthcare Mgmt, Inc	$15,465	1763%

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 $17,184.
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 Belton Regional Medical Center 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.