CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Regional West Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $898
Cash Discount Price: $3,052
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Regional West Medical Center is $898. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,052. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.02x the Medicare baseline. Located in 4021 Ave B, Scottsbluff, NE.

Cash / Self-Pay

$3,052

Average discount available for prompt cash payment at this facility.

Insurance Median

$898

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: $3,052 (348%)

Insurance Median: $898 (102%)

Cash: $3,052 (348% of Medicare)

Ins. Median: $898 (102% 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
Aetna	$115 - $4,731	13%
Humana	$115 - $892	13%
Medica	$115 - $4,324	13%
Medica Cost	$120 - $936	14%
Wellcare	$120 - $936	14%
Naphcare	$172 - $1,338	20%
Winhealth	$183 - $4,324	21%
Blue Cross Blue Shield	$214 - $4,070	24%
Cigna	$235 - $4,578	27%
Rci Insurance Group	$235 - $4,273	27%
Ambetter / Centene	$238 - $1,338	27%
UnitedHealthcare	$310 - $4,578	35%

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 $3,052.
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 Regional West Medical Center 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.