Sleep study (overnight, in lab)
Facility: Crossgates River Oaks Hospital
Billing Code: 95810 (CPT)
- CPT Billing Code: 95810
- Insurance Median: $1,835
- Cash Discount Price: $6,726
- vs. Medicare Baseline: 2.09x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 209% of the Medicare baseline (a markup of 109%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $284 - $7,802 | 32% |
| Veterans Eval Services | $422 | 48% |
| Tricare | $737 | 84% |
| Medicaid / KanCare | $775 - $4,103 | 88% |
| Node Champva | $775 | 88% |
| Magnolia Mcd Chip | $783 | 89% |
| Caresource Truecare | $791 | 90% |
| Humana | $817 | 93% |
| Medicare (plans) | $817 | 93% |
| Node First Choice Shared Health Of Ms Mcr Adv | $817 | 93% |
| Node Vantage Health Mcr Adv | $817 | 93% |
| Node Windsor Mcr Adv | $817 | 93% |
| Node Magnolia Mcr Adv | $825 | 94% |
| Node Hospice Non Par Agree | $830 | 95% |
| Node Va | $830 | 95% |
| Molina | $833 | 95% |
| Node Devoted Health Mcr Adv | $833 | 95% |
| Node First Choice American Health Of Ms Mcr Adv | $833 | 95% |
| Molina Chip | $837 | 95% |
| Aetna | $842 - $18,834 | 96% |
| Node First Choice Wellcare Mcr Adv | $847 | 97% |
| Ms Work Comp | $855 | 97% |
| Prime Health Wc | $855 | 97% |
| Node Healthy Mississippi Mcr Adv | $913 | 104% |
| Node Us Dept Of Labor | $1,038 | 118% |
| First Choice Preferred | $1,246 | 142% |
| Node First Choice Occunet | $1,246 | 142% |
| Molina Exchange | $1,445 | 165% |
| Node Magnolia Exchange | $1,453 | 166% |
| First Choice Lgp | $1,810 | 206% |
| Advanced Health Systems | $1,859 | 212% |
| Vantage Health Commercial | $1,868 | 213% |
| Blue Cross Blue Shield | $2,498 | 285% |
| Ms Dept Of Rehabilitation Services | $5,166 | 589% |
| Cigna | $5,569 - $18,834 | 635% |
| Self Pay | $7,533 | 859% |
| Trimed Billing Solutions | $8,072 | 920% |
| Ms State Hospital Of Whitfield | $10,224 | 1165% |
| First Choice Standard | $12,376 | 1411% |
| First Choice Coventry | $13,991 | 1595% |
| First Choice Mpcn Standard | $14,798 | 1687% |
| First Choice Ppo Plus | $14,798 | 1687% |
| Phcs | $16,143 | 1840% |
| Benefit Management Systems | $19,372 - $22,869 | 2208% |
| First Choice Stratose | $21,524 | 2453% |
| Prime Health Services | $21,524 | 2453% |
| American Health Group | $22,869 | 2607% |
| Beech Street | $22,869 | 2607% |
| Ibew | $22,869 | 2607% |
| One Health Plan | $24,214 | 2760% |