CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mary Lanning Healthcare

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $865
Cash Discount Price: $2,827
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mary Lanning Healthcare is $865. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,827. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$2,827

Average discount available for prompt cash payment at this facility.

Insurance Median

$865

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: $2,827 (322%)

Insurance Median: $865 (99%)

Cash: $2,827 (322% of Medicare)

Ins. Median: $865 (99% 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
Tricare	$108 - $838	12%
Aetna	$113 - $5,304	13%
Blue Cross Blue Shield	$115 - $6,027	13%
Medica Mcr Adv	$115 - $892	13%
Ne Total Care Mcr Adv	$115 - $892	13%
UnitedHealthcare	$115 - $5,726	13%
Va Ccn - All Plans	$115 - $892	13%
Consociate Inc-All Plans	$178 - $5,063	20%
Ambetter / Centene	$189 - $4,013	22%
Medica-All Other Plans	$201 - $5,244	23%
Nhn/Mna-All Plans	$218 - $4,882	25%
Midlands Choice-All Plans	$230 - $5,424	26%
Multiplan-All Plans	$230 - $5,726	26%
Provider Network Of America-All Plans	$230 - $5,424	26%
Workers Compensation-All Plans	$980 - $5,907	112%

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 $2,827.
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 Mary Lanning Healthcare 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.