CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Christus Santa Rosa Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,424
  • Cash Discount Price: $4,272
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Christus Santa Rosa Medical Center is $1,424. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,272. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.62x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
$4,272

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,424

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: $4,272 (487%)
Insurance Median: $1,424 (162%)
Cash: $4,272 (487% of Medicare)
Ins. Median: $1,424 (162% 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
Community First Health Plan $466 53%
Aetna $955 - $6,319 109%
Allwell $955 109%
Blue Cross Blue Shield $955 - $1,773 109%
Christus Health $955 - $1,337 109%
Coventry $955 109%
Humana $955 - $2,361 109%
Molina $955 - $3,883 109%
Superior $955 - $1,424 109%
Texas Healthspring $955 109%
Triwest $955 109%
UnitedHealthcare $955 - $2,330 109%
Wellcare $955 109%
Provider Partners Health Plan $984 112%
Texas Independence Health Plan $984 112%
Shared Health Insurance Company $1,003 114%
Us Imaging Network $1,022 116%
Amerigroup $1,032 - $1,553 118%
Devoted Health Plan $1,032 118%
Imperial Health Plan $1,051 120%
Medicare (plans) $1,051 120%
Procare Advantage $1,051 120%
Employer Direct $1,146 131%
Gilsbar Inc. $1,242 142%
Community First $1,424 - $1,553 162%
Driscoll Children'S Health Plan $1,424 162%
El Paso First $1,424 162%
First Care $1,424 162%
Texas Childrens Health Plan $1,553 177%
Naphcare Inc. $1,911 218%
Cigna $4,789 - $7,119 546%
Healthcare Highways $5,825 664%
Christian Brothers Services $7,119 811%
First Health $8,414 959%
Healthsmart $8,414 - $10,355 959%
Multiplan $8,414 959%
Phcs $8,414 959%
Five Point Credit Union $9,061 1033%
Medicus Internatiaonal $9,708 1107%
Beech Street $10,355 1180%
Health Management Network $10,355 1180%
Provider Select $10,355 1180%
National Choicecare $12,297 1402%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals