CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mercy Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,683
Cash Discount Price: $2,487
vs. Medicare Baseline: 4.20x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mercy Medical Center is $3,683. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,487. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.20x the Medicare baseline. Located in 2700 Nw Stewart Parkway, Roseburg, OR.

Cash / Self-Pay

$2,487

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,683

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: $2,487 (283%)

Insurance Median: $3,683 (420%)

Cash: $2,487 (283% of Medicare)

Ins. Median: $3,683 (420% 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 420% of the Medicare baseline (a markup of 320%). 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
Umpqua	$866	99%
Moda Health	$1,096 - $3,968	125%
Blue Cross Blue Shield	$1,151 - $3,623	131%
Healthnet	$1,151 - $4,544	131%
Atrio	$1,173	134%
Providence	$1,989 - $4,592	227%
Cigna	$3,408 - $3,731	388%
Pacificsource	$3,408 - $3,587	388%
Premera	$3,544 - $3,970	404%
Aetna	$3,635 - $4,305	414%
United	$3,862 - $4,066	440%
First Choice	$4,090 - $4,305	466%

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 $2,487.
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 Mercy 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.