CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Ascension St John Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,016
Cash Discount Price: $2,164
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Ascension St John Medical Center is $1,016. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,164. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.16x the Medicare baseline. Located in 1923 South Utica Avenue, Tulsa, OK.

Cash / Self-Pay

$2,164

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,016

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: $2,164 (247%)

Insurance Median: $1,016 (116%)

Cash: $2,164 (247% of Medicare)

Ins. Median: $1,016 (116% 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
First Health	$210 - $867	24%
Aetna	$508 - $3,918	58%
Champva	$968	110%
Community Care - St John Network Senior - Govt	$968	110%
Communitycare Senior	$968	110%
Life Pace	$968	110%
Longevity Health Plan Of Oklahoma	$968	110%
Medicare (plans)	$968	110%
UnitedHealthcare	$968 - $3,871	110%
Va Community Care Network	$968	110%
Veterans Administration	$968	110%
Humana	$977	111%
Blue Cross Blue Shield	$1,016 - $1,128	116%
Communitycare (Standard)	$1,065	121%
Community Care (Select) 7/1/13	$1,161	132%
Ccl&H	$1,258	143%
Smarthealth	$1,355	154%
Community Care Smarthealth	$1,452 - $2,323	166%
Communitycare (Select)	$1,452 - $2,226	166%
Connect Health Benefit	$1,936	221%
Evolutions	$1,936	221%
Kempton Group Administrators	$2,177	248%

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 $2,164.
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 Ascension St John Medical Center 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.