CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: McKenzie-Willamette Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,342
Cash Discount Price: $3,924
vs. Medicare Baseline: 2.67x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at McKenzie-Willamette Medical Center is $2,342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,924. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.67x the Medicare baseline. Located in 1460 G Street, Springfield, OR.

Cash / Self-Pay

$3,924

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,342

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: $3,924 (447%)

Insurance Median: $2,342 (267%)

Cash: $3,924 (447% of Medicare)

Ins. Median: $2,342 (267% 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 267% of the Medicare baseline (a markup of 167%). 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
UnitedHealthcare	$212	24%
Pacificsource Hlthier Or	$747	85%
Pacificsource Mcaid	$747	85%
Trillium Mcaid-All Plans	$747	85%
Healthnet Mcd	$814	93%
Kaiser Mcr Adv	$958	109%
Healthnet Mcr Adv	$1,006	115%
Kaiser Mcaid	$1,471	168%
Providence Hp Pebb	$1,916	218%
Blue Cross Blue Shield	$2,767	315%
Pacificsource Individual	$3,270	373%
Healthnet Comm - All Other Plans	$3,348	382%
Pacificsource Non-Individ	$4,251	485%
Providence Hp - All Other Plans	$4,251	485%
Pacificsource Psn/Voyager - All Other Plans	$4,382	499%
Cigna	$4,532	517%
Aetna	$5,232	596%
Kaiser Comm - All Other Plans	$17,657	2013%

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 $3,924.
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 McKenzie-Willamette 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.