CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Mercy St Francis Hospital
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $1,406
- Cash Discount Price: $1,998
- vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mercy St Francis Hospital is $1,406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,998. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.60x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.
Cash / Self-Pay
$1,998
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,406
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: $1,998 (228%)
Insurance Median: $1,406 (160%)
Cash: $1,998 (228% of Medicare)
Ins. Median: $1,406 (160% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $322 - $1,394 | 37% |
| Aetna | $325 - $3,647 | 37% |
| Blue Cross Blue Shield | $325 - $3,975 | 37% |
| Dept Of Veteran Affairs Contracted [320106] | $325 - $1,406 | 37% |
| Medicare (plans) | $325 - $1,463 | 37% |
| UnitedHealthcare | $325 - $3,893 | 37% |
| Medicaid / KanCare | $383 - $2,127 | 44% |
| Administrative Payor Contracted [320005] | $427 - $1,844 | 49% |
| Ambetter / Centene | $492 - $2,127 | 56% |
| Home State Health Plan Contracted [320187] | $492 - $2,127 | 56% |
| Novasys Contracted [320285] | $492 - $2,127 | 56% |
| Centivo Contracted [320505] | $550 - $2,377 | 63% |
| Healthlink Contracted [320179] | $616 - $3,893 | 70% |
| Preferred Health Plan Contracted [320522] | $616 - $2,664 | 70% |
| Cherokee Nation Health Serv Contracted [320066] | $619 - $1,406 | 71% |
| Cigna | $619 - $3,893 | 71% |
| Cross Timbers Hospice [20098] | $619 - $1,406 | 71% |
| Elara Caring Aspire Hospice [20433] | $619 - $1,406 | 71% |
| Globalhealth Contracted [320145] | $619 - $1,406 | 71% |
| Halo Hcr Inc Hospice Contracted [320432] | $619 - $1,406 | 71% |
| Halo Hcr Inc Hospice [20432] | $619 - $1,406 | 71% |
| Humana | $619 - $3,688 | 71% |
| Indian Health Service Contracted [320198] | $619 - $1,406 | 71% |
| Kindful Hospice Contracted [320434] | $619 - $1,406 | 71% |
| Kindful Hospice [20434] | $619 - $1,406 | 71% |
| Medical Associates Health Contracted [320444] | $619 - $1,406 | 71% |
| Mercy Hospice Okc [20252] | $619 - $1,406 | 71% |
| Mercy Mgd Behavioral Health Contracted [320259] | $619 - $1,406 | 71% |
| Pace Of The Ozarks Contracted [320518] | $619 - $1,406 | 71% |
| Provider Partners Health Plans Contracted [320450] | $619 - $1,406 | 71% |
| Qual Choice Contracted [320325] | $619 - $1,406 | 71% |
| Healthscope Contracted [320182] | $625 - $1,869 | 71% |
| Workers Comp [20426] | $758 - $3,483 | 86% |
| Auxiant Contracted [320462] | $853 - $3,893 | 97% |
| Mercy Benefit Admin Contracted [320251] | $853 - $3,893 | 97% |
| Point C Contracted [320238] | $853 - $3,893 | 97% |
| United Medical Resources Contracted [320454] | $853 - $3,811 | 97% |
| Medica Contracted [320239] | $896 - $3,873 | 102% |
| 90 Degree Benefits Contracted [320436] | $901 - $3,893 | 103% |
| Aither Health Contracted [320449] | $901 - $3,893 | 103% |
| Benefit Management Contracted [320052] | $901 - $3,893 | 103% |
| Ebms Contracted [320493] | $901 - $3,893 | 103% |
| Edison Health Solutions Contracted [320502] | $901 - $3,893 | 103% |
| Evolutions Health Care Contracted [320124] | $901 - $3,893 | 103% |
| First Health Contracted [320128] | $901 - $3,893 | 103% |
| Health Systems Inc Contracted [320174] | $901 - $3,893 | 103% |
| Imagine 360 Contracted [320494] | $901 - $3,893 | 103% |
| Insurance System Inc Contracted [320465] | $901 - $3,893 | 103% |
| Multiplan Contracted [320270] | $901 - $3,893 | 103% |
| Point C [20238] | $901 - $3,893 | 103% |
| Private Health Care Systems Contracted [320320] | $901 - $3,893 | 103% |
| Reflect Health Contracted [320492] | $901 - $3,893 | 103% |
| Show-Me Health Administrators Contracted [320483] | $901 - $3,893 | 103% |
| Usa Managed Care Org Contracted [320429] | $901 - $3,893 | 103% |
| Yuzu Health Contracted [320521] | $901 - $3,893 | 103% |