CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Dundy County Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,383
Cash Discount Price: $3,250
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Dundy County Hospital is $2,383. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,250. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.72x the Medicare baseline. Located in P O Box 626, 1313 North Cheyenne St, Benkelman, NE.

Cash / Self-Pay

$3,250

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,383

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: $3,250 (370%)

Insurance Median: $2,383 (272%)

Cash: $3,250 (370% of Medicare)

Ins. Median: $2,383 (272% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 272% of the Medicare baseline (a markup of 172%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Molina	$1,806	206%
UnitedHealthcare	$1,806 - $2,347	206%
Medica	$1,995	227%
Blue Cross Blue Shield	$2,347 - $3,611	268%
Total Care	$2,371	270%
Wellcare	$2,394	273%
Midlands Choice	$2,708	309%
Multiplan	$3,539	403%
Aetna	$5,117	583%

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 $3,250.
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 Dundy County Hospital 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.