CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $631
Cash Discount Price: $1,251
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Ste Genevieve County Memorial Hospital is $631. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,251. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.72x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.

Cash / Self-Pay

$1,251

Average discount available for prompt cash payment at this facility.

Insurance Median

$631

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: $1,251 (143%)

Insurance Median: $631 (72%)

Cash: $1,251 (143% of Medicare)

Ins. Median: $631 (72% 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
Blue Cross Blue Shield	$177 - $1,516	20%
Medicare (plans)	$177 - $1,074	20%
Va	$177 - $1,074	20%
Aetna	$181 - $3,308	21%
Allwell	$181 - $1,096	21%
Pphp	$204 - $1,235	23%
Ambetter / Centene	$222 - $1,343	25%
Medicaid / KanCare	$367	42%
Homestate	$381	43%
UnitedHealthcare	$452 - $2,148	52%
Healthy_Blue	$465	53%
Uhc_Community	$465	53%
Meritain	$546 - $3,308	62%
Multiplan/Phcs	$603 - $3,652	69%
Healthlink_Compmanagement	$631	72%
Healthlink_Hmo	$631	72%
Healthlink_Ppo	$631	72%
Cigna	$3,523	402%

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 $1,251.
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 Ste Genevieve County Memorial Hospital 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.