CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Okeene Municipal Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,591
Cash Discount Price: $1,825
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Okeene Municipal Hospital is $1,591. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,825. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.81x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$1,825

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,591

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: $1,825 (208%)

Insurance Median: $1,591 (181%)

Cash: $1,825 (208% of Medicare)

Ins. Median: $1,591 (181% 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
Pref Community Choice Ppo-All Plans	$342	39%
Blue Cross Blue Shield	$1,300 - $2,139	148%
Coventry Mcr Adv	$1,300	148%
Global Health Mcr Adv	$1,300	148%
Humana	$1,300 - $2,281	148%
Medicare (plans)	$1,300	148%
UnitedHealthcare	$1,300 - $1,622	148%
Cigna	$1,396	159%
Ihs-All Plans	$1,478	168%
Aetna	$1,500 - $2,281	171%
Ok Complete Health Comm-All Other Plans	$1,586	181%
Healthchoice Ip Only-All Plans	$1,597	182%
Global Health-All Other Plans	$1,690	193%
Healthcare Highways-All Plans	$1,711	195%
Phcs Savility/Multiplan - All Plans	$1,711	195%
Medica Commercial-All Other Plans	$1,755	200%
Community Care Hmo-All Plans	$2,053	234%
Ok Complete Health Mcaid	$2,281	260%

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 $1,825.
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 Okeene Municipal 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.