CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Medical Center Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,514
Cash Discount Price: $2,768
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Medical Center Hospital is $1,514. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,768. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.73x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$2,768

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,514

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: $2,768 (315%)

Insurance Median: $1,514 (173%)

Cash: $2,768 (315% of Medicare)

Ins. Median: $1,514 (173% 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
Corvel Wc	$485 - $562	55%
Medicaid / KanCare	$592 - $621	67%
Superior Chips	$592	67%
UnitedHealthcare	$654 - $2,963	75%
Blue Cross Blue Shield	$691 - $1,860	79%
Aetna	$849 - $2,854	97%
Novitas Solutions	$849	97%
Triwest Va Ccn	$849	97%
Care Improvement Plus	$863	98%
Ambetter / Centene	$891	102%
Wellcare By Allwell	$891	102%
Health Select	$922 - $1,860	105%
Humana	$955	109%
Group Resources	$1,035	118%
Workers Comp	$1,725	197%
Caprock	$1,730 - $2,076	197%
Healthsmart Preferred Care	$1,730 - $2,595	197%
90 Degree Benefits	$2,076	237%
Cigna	$2,137 - $2,188	244%
State Comptroller	$2,162	246%
Texas Mutual Wc	$2,854	325%
Geha	$2,945	336%
Firstcare	$3,028	345%

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 $2,768.
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 Medical Center 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.