CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: King's Daughters Medical Center-Brookhaven

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $789
Cash Discount Price: $596
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at King's Daughters Medical Center-Brookhaven is $789. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $596. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.90x the Medicare baseline. Located in P O Box 948/427 Highway 51 North, Brookhaven, MS.

Cash / Self-Pay

$596

Average discount available for prompt cash payment at this facility.

Insurance Median

$789

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: $596 (68%)

Insurance Median: $789 (90%)

Cash: $596 (68% of Medicare)

Ins. Median: $789 (90% 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
UnitedHealthcare	$134 - $820	15%
Aetna	$177 - $1,015	20%
Cigna	$395 - $789	45%
Humana	$395 - $789	45%
Ambetter / Centene	$533 - $1,065	61%
Magnolia Health Plan	$533 - $1,065	61%
First Choice	$592 - $1,184	67%
Vantage Health Plan	$907 - $1,815	103%

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 $596.
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 King's Daughters Medical Center-Brookhaven 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.