CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $3,438
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.92x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at University of Texas M. D. Anderson Cancer Center is $3,438. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.92x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,438

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%)
Insurance Median: $3,438 (392%)
Ins. Median: $3,438 (392% 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 392% of the Medicare baseline (a markup of 292%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
UnitedHealthcare $81 - $3,683 9%
Texaschildrens $85 - $2,161 10%
Tricare $97 - $3,683 11%
Vacare $97 - $2,161 11%
Medicare (plans) $137 - $2,161 16%
Blue Cross Blue Shield $206 - $3,536 23%
Aetna $238 - $3,683 27%
Cigna $355 - $3,683 40%
Humana $680 - $3,781 78%
Ontarioministriesofhealth $839 - $3,634 96%
Beijingst.Lucia $850 - $3,683 97%
Embassyofqatar $850 - $3,683 97%
Memorialhermannhealth $850 - $3,683 97%
Emergingtherapysolutions_Cancercare $907 - $3,929 103%
Interlink_Cancercare $907 - $3,929 103%
Saudiarmedforces $907 - $3,929 103%
Uae_Medical $907 - $3,929 103%
Uaepoliceattache $907 - $3,929 103%
Healthsmart $964 - $4,174 110%
Vantage $964 - $4,174 110%
Multiplan $1,019 - $4,223 116%
Phcs $1,019 - $4,223 116%
Emergingtherapysolutions $3,683 - $3,929 420%
Interlink $3,683 - $4,174 420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL