CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Boys Town National Research Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,133
Cash Discount Price: $2,275
vs. Medicare Baseline: 2.43x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Boys Town National Research Hospital is $2,133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,275. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.43x the Medicare baseline. Located in 14000 Boys Town Hospital Road, Boys Town, NE.

Cash / Self-Pay

$2,275

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,133

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: $2,275 (259%)

Insurance Median: $2,133 (243%)

Cash: $2,275 (259% of Medicare)

Ins. Median: $2,133 (243% 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 243% of the Medicare baseline (a markup of 143%). 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
Amerigroup	$816	93%
Medica	$1,422 - $2,275	162%
Elap Omaha Firefighters	$1,564	178%
Molina Of Nebraska	$1,603	183%
Nebraska Total Care	$1,603	183%
UnitedHealthcare	$1,603 - $1,991	183%
Aetna	$2,105	240%
First Health	$2,105	240%
Methodist	$2,133	243%
Nfm Paramount	$2,133 - $2,275	243%
Blue Cross Blue Shield	$2,275 - $2,759	259%
Health Partners	$2,275	259%
Midlands Choice	$2,275	259%
Phcs-Multiplan	$2,275 - $2,417	259%

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 $2,275.
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 Boys Town National Research 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.