CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Salem Memorial District Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,093
  • Cash Discount Price: $1,902
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Salem Memorial District Hospital is $1,093. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,902. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.25x the Medicare baseline. Located in Po Box 774, Salem, MO.
Cash / Self-Pay
$1,902

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,093

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: $1,902 (217%)
Insurance Median: $1,093 (125%)
Cash: $1,902 (217% of Medicare)
Ins. Median: $1,093 (125% 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.

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
UnitedHealthcare $86 - $1,337 10%
Aetna $387 - $3,539 44%
Ambetter / Centene $387 - $1,337 44%
Blue Cross Blue Shield $387 - $3,736 44%
Humana $387 - $3,342 44%
Tricare $387 - $1,337 44%
Triwest $387 - $1,337 44%
Veteran'S Affairs $387 - $1,337 44%
Healthlink $740 - $2,556 84%
First Health $911 - $3,146 104%
Mercy - C.B. Management Company/Joplin Supply Company $911 - $3,146 104%
Mercy - City Of Springfield $911 - $3,146 104%
Mercy - Clayco $911 - $3,146 104%
Mercy - Commerce Bank $911 - $3,146 104%
Mercy - Diversified Plastics $911 - $3,146 104%
Mercy - Employers Benefit Alliance $911 - $3,146 104%
Mercy - Evolutions $911 - $3,146 104%
Mercy - Fabick Cat $911 - $3,146 104%
Mercy - Firsthealth Network $911 - $3,146 104%
Mercy - Health Management Network $911 - $3,146 104%
Mercy - Health Systems Inc $911 - $3,146 104%
Mercy - Liberty Utilities/Empire District Electric $911 - $3,146 104%
Mercy - Life Church $911 - $3,146 104%
Mercy - Missouri State University $911 - $3,146 104%
Mercy - Prime Health Services $911 - $3,146 104%
Mercy - Quiktrip Corporation $911 - $3,146 104%
Mercy - Shinesolar $911 - $3,146 104%
Mercy - Springfield Public Schools $911 - $3,146 104%
Mercy - Springfield Remanufacturing $911 - $3,146 104%
Mercy - Sumnerone $911 - $3,146 104%
Mercy - Trailiner $911 - $3,146 104%
Mercy - Walmart Mercy Accountable Care Plan $911 - $3,146 104%
Mercy-American Healthcare Alliance $911 - $3,146 104%
Phcs $911 - $3,342 104%
Cigna $967 - $3,338 110%
Mercy - Compresults $1,025 - $3,539 117%
Mercy - Corvel Corporation $1,025 - $3,539 117%
Mercy - Novasys $1,025 - $3,539 117%
Mercy - Scurlock Industries $1,025 - $3,539 117%
Mercy - Usa Managed Care Organization $1,025 - $3,539 117%
Right Choice-Alliance $1,082 - $3,736 123%
Right Choice-Regular $1,105 - $3,814 126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Po Box 774, Salem, MO 65560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals