CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: University of Mississippi Medical Center- Grenada

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,485
Cash Discount Price: $792
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at University of Mississippi Medical Center- Grenada is $1,485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $792. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.69x the Medicare baseline. Located in 960 Avent Drive, Grenada, MS.

Cash / Self-Pay

$792

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,485

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: $792 (90%)

Insurance Median: $1,485 (169%)

Cash: $792 (90% of Medicare)

Ins. Median: $1,485 (169% 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
Medicare (plans)	$740	84%
Tricare	$740	84%
Va_Ccn-Gmc	$740	84%
Medadv_Primewell-Gmc	$763	87%
Medadv_Uhc-Gmc	$763	87%
Medadv_Uhcdsnp-Gmc	$763	87%
Wellcare-Gmc	$763	87%
Humana	$770	88%
Devoted_Health-Gmc	$777	89%
Ms-Can-Molina-Gmc	$799	91%
Ms-Can-Magnolia-Gmc	$806	92%
Ms-Can-Truecare-Gmc	$814	93%
Bhsg-Gmc	$1,385	158%
Mpcn-Gmc	$1,485	169%
Molina_Exchange-Gmc	$1,592	181%
Molina-Chip-Gmc	$1,706	194%
Cigna	$1,742	199%
Magnolia-Chip-Gmc	$1,744	199%
Truecare-Chip-Gmc	$1,744	199%
Aetna	$1,781	203%
Healthlink-Gmc	$1,831	209%
Advhealth-Gmc	$1,859	212%
Ambetter / Centene	$1,866	213%
Blue Cross Blue Shield	$1,979	226%
Primewell-Gmc	$1,979	226%
United-Gmc	$1,979	226%
Firstchoice-Gmc	$2,787	318%

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 $792.
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 University of Mississippi Medical Center- Grenada 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.