CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Mercy Hospital Oklahoma City, Inc
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $3,258
- Cash Discount Price: $4,464
- vs. Medicare Baseline: 3.71x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mercy Hospital Oklahoma City, Inc is $3,258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,464. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.71x the Medicare baseline. Located in 4300 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$4,464
Average discount available for prompt cash payment at this facility.
Insurance Median
$3,258
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: $4,464 (509%)
Insurance Median: $3,258 (371%)
Cash: $4,464 (509% of Medicare)
Ins. Median: $3,258 (371% 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 371% of the Medicare baseline (a markup of 271%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $122 - $1,306 | 14% |
| Aetna | $528 - $6,005 | 60% |
| Humana | $528 - $5,731 | 60% |
| Globalhealth Contracted [320144] | $850 | 97% |
| Tricare | $901 - $949 | 103% |
| Blue Cross Blue Shield | $949 - $1,017 | 108% |
| Champva [20065] | $949 | 108% |
| Cherokee Nation Health Serv Contracted [320066] | $949 | 108% |
| Cross Timbers Hospice [20098] | $949 | 108% |
| Dept Of Veteran Affairs Contracted [320106] | $949 | 108% |
| Elara Caring Aspire Hospice Contracted [320433] | $949 | 108% |
| Elara Caring Aspire Hospice [20433] | $949 | 108% |
| Halo Hcr Inc Hospice Contracted [320432] | $949 | 108% |
| Halo Hcr Inc Hospice [20432] | $949 | 108% |
| Indian Health Service Contracted [320198] | $949 | 108% |
| Kindful Hospice Contracted [320434] | $949 | 108% |
| Kindful Hospice [20434] | $949 | 108% |
| Longevity Health Plan [10477] | $949 | 108% |
| Medicare (plans) | $949 - $1,016 | 108% |
| Mercy Hospice Okc [20252] | $949 | 108% |
| Mercy Rehab Hospital Contracted [320260] | $949 | 108% |
| Provider Partners Health Plans Contracted [320450] | $949 | 108% |
| Qual Choice Contracted [320325] | $949 | 108% |
| UnitedHealthcare | $949 - $2,214 | 108% |
| Globalhealth Contracted [320145] | $969 | 110% |
| Cigna | $978 - $4,967 | 111% |
| Amg Spec Hosp Edmond [20034] | $1,016 | 116% |
| Ambetter / Centene | $1,306 | 149% |
| Home State Health Plan Contracted [320187] | $1,306 | 149% |
| Novasys Contracted [320285] | $1,306 | 149% |
| Community Care Contracted [320080] | $1,452 - $5,814 | 166% |
| Medica Contracted [320239] | $1,721 - $2,633 | 196% |
| Health Choice Contracted [320166] | $1,780 | 203% |
| Healthcare Highways Plus Contracted [320175] | $2,118 - $4,984 | 241% |
| Healthsmart Preferred Care Contracted [320184] | $2,136 - $5,399 | 243% |
| Kempton Contracted [320214] | $2,136 | 243% |
| United Medical Resources Contracted [320454] | $2,214 - $5,399 | 252% |
| Webtpa Contracted [320417] | $2,281 - $3,489 | 260% |
| Osma Health Contracted [320292] | $2,444 - $3,738 | 279% |
| Aither Health Contracted [320449] | $3,258 - $4,984 | 371% |
| Auxiant Contracted [320462] | $3,258 - $5,399 | 371% |
| Benefit Management Contracted [320052] | $3,258 - $5,399 | 371% |
| Ebms Contracted [320493] | $3,258 - $4,984 | 371% |
| Healthlink Contracted [320179] | $3,258 - $5,399 | 371% |
| Imagine 360 Contracted [320494] | $3,258 - $4,984 | 371% |
| Mercy Benefit Admin Contracted [320251] | $3,258 - $5,399 | 371% |
| Quik Trip Contracted [320447] | $3,258 - $4,984 | 371% |
| Reflect Health Contracted [320492] | $3,258 - $4,984 | 371% |
| Show-Me Health Administrators Contracted [320483] | $3,258 - $4,984 | 371% |
| Workers Comp [20426] | $3,258 - $4,984 | 371% |
| Yuzu Health Contracted [320521] | $3,258 - $4,984 | 371% |
| First Health Contracted [320128] | $3,345 - $5,116 | 381% |
| Federal Medical Center Contracted [320127] | $3,530 - $5,399 | 402% |
| Healthscope Contracted [320182] | $3,530 - $5,399 | 402% |
| Healthsmart Accel Contracted [320183] | $3,530 - $5,399 | 402% |
| Point C Contracted [320238] | $3,530 - $5,399 | 402% |
| Preferred Health Plan Contracted [320522] | $3,530 - $5,399 | 402% |
| Private Health Care Systems Contracted [320320] | $3,530 - $5,814 | 402% |
| Tri State Healthcare Coalition Contracted [320379] | $3,530 - $5,399 | 402% |
| Multiplan Contracted [320270] | $3,801 - $7,475 | 433% |
| Preferred Community Choice Contracted [320311] | $4,127 - $6,313 | 470% |
| Centralink Contracted [320480] | $5,430 - $8,306 | 619% |