CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: SSM Health St Anthony Hospital - Shawnee

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,089

about 1.2× the $877 Medicare rate · typically $834–$1,197

modeled estimate · not a bill or quote

What this hospital charges insurers

$851

Below the fair price — a good deal

about $238 under the fair price · 1.0× Medicare

Medicare pays $877 Fair price $1,089 This hospital $851 Cash price $3,476 Hospital's list price $6,320

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $528 Priciest $851

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $1,089 (about 1.2× the $877 Medicare rate). SSM Health St Anthony Hospital - Shawnee charges insurers about $851, or about $3,476 in cash — below the fair price — a good deal. Located in Shawnee, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$838	96%
Blue Cross Blue Shieldmajor	$826 - $851	94%
Humanamajor	$840	96%
Ambetter (Centene)	$1,115	127%
Medica	$730	83%
Oscar Health	$1,086	124%
+ 2 smaller / regional plans	$1,611 - $2,035

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,476), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm SSM Health St Anthony Hospital - Shawnee is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at SSM Health St Anthony Hospital - Shawnee

Compare: Sleep study (overnight, in lab) at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.