CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Curry General Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,576
Cash Discount Price: $2,233
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Curry General Hospital is $1,576. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,233. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.80x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$2,233

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,576

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: $2,233 (255%)

Insurance Median: $1,576 (180%)

Cash: $2,233 (255% of Medicare)

Ins. Median: $1,576 (180% 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
Tricare	$72 - $1,318	8%
Blue Cross Blue Shield	$118 - $4,234	13%
Medicaid / KanCare	$146 - $2,752	17%
Department Of Corrections [1051]	$150 - $2,752	17%
Coordinated Care Commercial [1649]	$196 - $3,599	22%
Pacificsource [1148]	$196 - $3,599	22%
Moda [512]	$198 - $3,811	23%
Multiplan [1131]	$210 - $3,853	24%
Asuris [1258]	$219 - $4,022	25%
Operating Engineers [1144]	$219 - $4,022	25%
Regence [1351]	$219 - $4,234	25%
Cigna	$226 - $4,234	26%
Coventry First Health Managed Care [1774]	$226 - $4,149	26%
Coventry Health [1046]	$226 - $4,149	26%
Providence Health Plan Plm Alt [1692]	$226 - $4,149	26%
Providence Health Plan [567]	$226 - $4,149	26%
Aetna	$231 - $4,234	26%
Employee Bene Admin Mgmt [525]	$231 - $4,234	26%
Geha [531]	$231 - $4,234	26%
Mailhandlers Benefit Pln [547]	$231 - $4,234	26%
Meritain [550]	$231 - $4,234	26%
Nw Sheet Metal Workers [597]	$231 - $4,234	26%
Trustmark [524]	$231 - $4,234	26%
UnitedHealthcare	$231 - $4,234	26%
Zenith Administrators [586]	$231 - $4,234	26%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$398 - $452	45%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$677 - $1,833	77%
Medicare (plans)	$677 - $2,752	77%
First Choice Health Admin [1294]	$1,843	210%
First Choice [528]	$1,843	210%
Allcare Alt [2598]	$2,000	228%
Allcare [1695]	$2,000	228%

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 $2,233.
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 Curry General 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.