CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $716
  • Cash Discount Price: $1,588
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $716. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,588. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.82x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$1,588

Average discount available for prompt cash payment at this facility.

Insurance Median
$716

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: $1,588 (181%)
Insurance Median: $716 (82%)
Cash: $1,588 (181% of Medicare)
Ins. Median: $716 (82% 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.

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
Molina $93 - $1,068 11%
Parkland $93 - $485 11%
UnitedHealthcare $93 - $3,601 11%
Wellpoint $93 - $1,068 11%
Aetna $107 - $3,102 12%
Superior $109 - $1,068 12%
Procare $113 - $1,017 13%
Ambetter / Centene $116 - $627 13%
Blue Cross Blue Shield $119 - $3,110 14%
Humana $119 - $1,058 14%
Healthfirst $223 - $1,784 25%
Coventry $245 - $2,219 28%
Quiktrip $254 - $2,000 29%
Maestro Health/Fort Worth Firefighters $278 - $1,697 32%
United Options Nexus $317 - $3,990 36%
Cigna $391 - $2,338 45%
Rockwall County $484 - $2,222 55%
Healthsmart $575 - $3,170 66%
Phcs $585 - $2,719 67%
Galaxy Health Network $622 - $2,815 71%
Multiplan $622 - $2,815 71%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals