CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Cass Regional Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,406
Cash Discount Price: $4,567
vs. Medicare Baseline: 2.74x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Cass Regional Medical Center is $2,406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,567. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.74x the Medicare baseline. Located in 2800 E Rock Haven Road, Harrisonville, MO.

Cash / Self-Pay

$4,567

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,406

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: $4,567 (521%)

Insurance Median: $2,406 (274%)

Cash: $4,567 (521% of Medicare)

Ins. Median: $2,406 (274% 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 274% of the Medicare baseline (a markup of 174%). 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
Cigna	$361 - $3,082	41%
UnitedHealthcare	$696 - $2,579	79%
Blue Cross Blue Shield	$832 - $5,651	95%
Ambetter / Centene	$1,134 - $4,200	129%
Humana	$1,334 - $6,092	152%
Oscar	$1,387 - $5,137	158%
Ivl/Carelink	$1,506 - $5,579	172%
Aetna	$1,676 - $9,247	191%
Wppa Unified Health Plan	$2,080 - $7,706	237%
Multiplan	$2,330 - $8,630	266%
Coventry Leased	$2,688 - $9,956	306%

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 $4,567.
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 Cass 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.