CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Titus Regional Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $536
Cash Discount Price: $1,454
vs. Medicare Baseline: 0.61x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Titus Regional Medical Center is $536. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,454. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.61x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$1,454

Average discount available for prompt cash payment at this facility.

Insurance Median

$536

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: $1,454 (166%)

Insurance Median: $536 (61%)

Cash: $1,454 (166% of Medicare)

Ins. Median: $536 (61% 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
Christus Health Plan	$83 - $1,017	9%
Humana	$83 - $1,696	9%
Tricare	$83 - $1,017	9%
Triwest	$83 - $1,017	9%
UnitedHealthcare	$83 - $1,938	9%
Texas Mutual	$85 - $1,048	10%
Curative	$91 - $2,423	10%
Blue Cross Blue Shield	$115 - $2,423	13%
Claritev	$122 - $1,938	14%
Healthcare Highways	$156 - $969	18%
Aetna	$180 - $930	21%
Superior	$184 - $1,105	21%
Healthsmart	$283 - $1,696	32%
Cigna	$323 - $1,938	37%
Galaxy Health	$384 - $2,302	44%

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 $1,454.
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 Titus Regional 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.