CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Artesia General Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,604
Cash Discount Price: $2,411
vs. Medicare Baseline: 1.83x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Artesia General Hospital is $1,604. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,411. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.83x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$2,411

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,604

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: $2,411 (275%)

Insurance Median: $1,604 (183%)

Cash: $2,411 (275% of Medicare)

Ins. Median: $1,604 (183% 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
Zelis	$486 - $2,501	55%
First Health	$688 - $5,628	78%
Blue Cross Blue Shield	$916 - $3,752	104%
Molina Healthcare Of New Mexico	$934 - $1,656	106%
Presbyterian Health Plan	$934 - $1,079	106%
UnitedHealthcare	$934 - $986	106%
Triwest	$966	110%
Geha	$986 - $5,002	112%
Humana	$986 - $1,084	112%
Vistacare Hospice	$986	112%
Omni Networks	$1,247 - $4,377	142%
Three Rivers Provider Network	$1,336 - $4,690	152%
Cigna	$1,515 - $5,628	173%
Galaxy Health	$1,604 - $5,628	183%
One Health Plan	$1,604 - $5,628	183%
Multiplan	$1,622 - $5,690	185%
United Payors & United Providers	$1,657 - $5,815	189%
New Mexico Health Connections	$1,676	191%
Providence Risk & Insurance Services	$1,693 - $5,940	193%

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 $2,411.
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 Artesia General 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.