CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Christus Spohn Hospital Kleberg

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,107
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Christus Spohn Hospital Kleberg is $1,107. 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 1.26x the Medicare baseline. Located in 1311 East General Cavazos Blvd, Kingsville, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,107

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: $1,107 (126%)
Ins. Median: $1,107 (126% 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
Christus Health $101 - $1,030 12%
Aetna $1,030 - $4,296 117%
Allwell $1,030 117%
Blue Cross Blue Shield $1,030 - $1,783 117%
Coventry $1,030 117%
Humana $1,030 - $1,616 117%
Molina $1,030 117%
Superior $1,030 117%
Texas Healthspring $1,030 117%
Triwest $1,030 117%
UnitedHealthcare $1,030 - $1,630 117%
Wellcare $1,030 117%
Provider Partners Health Plan $1,061 121%
Shared Health Insurance Company $1,081 123%
Us Imaging Network $1,102 126%
Amerigroup $1,112 127%
Devoted Health Plan $1,112 127%
Imperial Health Plan $1,133 129%
Medicare (plans) $1,133 129%
Procare Advantage $1,133 129%
Naphcare Inc. $2,059 235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1311 East General Cavazos Blvd, Kingsville, TX 78363
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals