CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Great Plains Health

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $692
Cash Discount Price: $1,617
vs. Medicare Baseline: 0.79x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Great Plains Health is $692. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,617. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.79x the Medicare baseline. Located in 601 West Leota St, North Platte, NE.

Cash / Self-Pay

$1,617

Average discount available for prompt cash payment at this facility.

Insurance Median

$692

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: $1,617 (184%)

Insurance Median: $692 (79%)

Cash: $1,617 (184% of Medicare)

Ins. Median: $692 (79% 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
Nebraska Total Care	$123 - $1,096	14%
Molina	$134 - $1,195	15%
Midwest Network Alliance	$234 - $4,434	27%
Blue Cross Blue Shield	$245 - $4,502	28%
Midlands Choice	$251 - $4,731	29%
Ambetter / Centene	$274 - $4,981	31%
UnitedHealthcare	$274 - $4,833	31%
Medica	$278 - $4,680	32%
Oscar Health	$281 - $4,731	32%
Coventry	$284 - $4,833	32%
Geha	$284 - $4,782	32%
Mutual Of Omaha	$287 - $4,833	33%

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 $1,617.
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 Great Plains Health 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.