CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Hillcrest Hospital Cushing

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $5,372
Cash Discount Price: $2,297
vs. Medicare Baseline: 6.12x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Hillcrest Hospital Cushing is $5,372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,297. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 6.12x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.

Cash / Self-Pay

$2,297

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,372

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: $2,297 (262%)

Insurance Median: $5,372 (612%)

Cash: $2,297 (262% of Medicare)

Ins. Median: $5,372 (612% 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 612% of the Medicare baseline (a markup of 512%). 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
Black Lung [6055]	$1,914	218%
Healthcare Highways [2210]	$1,914 - $2,290	218%
Hooray Health [8000]	$1,914	218%
Lucent Health [6000]	$1,914	218%
Oncology Patient Assistance Programs [2295]	$1,914	218%
Oscar Insurance Company [7005]	$1,914	218%
Healthscope Benefits [2290]	$2,082	237%
UnitedHealthcare	$2,082 - $3,791	237%
Web Tpa [2115]	$2,290	261%
Cigna	$3,745	427%
Healthpartners [1500]	$3,745	427%
National Association Of Letter Carriers [1695]	$3,745	427%
Pba [1775]	$3,745	427%
Global Health [1430]	$4,748	541%
First Health [1375]	$5,307 - $6,739	605%
Multiplan [1680]	$5,307 - $6,739	605%
Healthcare Solutions [1485]	$5,437	620%
Community Care [1290]	$6,356	724%
Fmh Benefit Services [1390]	$6,356	724%
Group Resources [1455]	$6,356	724%
Phcs [1780]	$6,356 - $6,739	724%
Healthsmart [1505]	$6,509	742%
Administrative Concepts [1005]	$6,739	768%
Allied Benefit Systems Inc [1030]	$6,739	768%
Allied National Global Care [1035]	$6,739	768%
Gilsbar [1425]	$6,739	768%
Healthnet [1495]	$6,739	768%
Mutual Of Omaha [1685]	$6,739	768%
New Era Life Insurance Company [1705]	$6,739	768%
Pan American Life Insurance Co [1770]	$6,739	768%
Trustmark [2030]	$6,739	768%
Universal Fidelity [2085]	$6,739	768%
Pending Ssi [1616]	$7,658	873%

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 $2,297.
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 Hillcrest Hospital Cushing 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.