CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Methodist Hospital Atascosa

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,389
Cash Discount Price: $11,445
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Methodist Hospital Atascosa is $2,389. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,445. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.72x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.

Cash / Self-Pay

$11,445

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,389

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: $11,445 (1305%)

Insurance Median: $2,389 (272%)

Cash: $11,445 (1305% of Medicare)

Ins. Median: $2,389 (272% 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 272% of the Medicare baseline (a markup of 172%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Superior Health	$275 - $869	31%
Community First Health Plans	$661 - $4,693	75%
Imperial Insurance	$1,046 - $3,303	119%
Oscar	$1,101 - $3,476	125%
Blue Cross Blue Shield	$1,242 - $5,128	142%
United	$1,277 - $7,822	146%
Cigna	$1,608 - $6,727	183%
Focus Health Solutions	$1,652 - $5,215	188%
Healthcare Highways	$1,696 - $5,354	193%
Valenz	$1,927 - $6,084	220%
Evry Health	$2,027 - $6,397	231%
Aetna	$2,113 - $8,691	241%
Curative Administrators	$2,203 - $6,953	251%
First Health	$2,429 - $7,665	277%
Healthsmart Preferred Care	$3,029 - $9,560	345%
Multiplan	$4,130 - $14,775	471%
Triwest Health Alliance	$4,130 - $13,037	471%

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 $11,445.
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 Methodist Hospital Atascosa 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.