CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Methodist Richardson Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $914
Cash Discount Price: $3,735
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Methodist Richardson Medical Center is $914. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,735. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.04x the Medicare baseline. Located in 2831 E President George Bush Highway, Richardson, TX.

Cash / Self-Pay

$3,735

Average discount available for prompt cash payment at this facility.

Insurance Median

$914

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: $3,735 (426%)

Insurance Median: $914 (104%)

Cash: $3,735 (426% of Medicare)

Ins. Median: $914 (104% 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
Blue Cross Blue Shield	$323 - $914	37%
UnitedHealthcare	$716 - $923	82%
Aetna	$863 - $1,398	98%
Covid19 Hrsa Uninsured Testing And Treatment Fund [6005]	$863	98%
Medicare (plans)	$863 - $923	98%
Ust Health Proof [1005]	$863	98%
Wellcare [7016]	$863	98%
American Health Advantage Of Texas [7099]	$906	103%
Cigna	$906 - $1,596	103%
Globalhealth [1003]	$906	103%
Procare Advantage [7018]	$906	103%
Humana	$914	104%
Southwestern Health Resources Swhr [7015]	$914	104%
Provider Partners Health Plan [7025]	$932	106%
Coralvita [9216]	$1,035	118%
Alternative Service Concepts [8005]	$1,078	123%
Oscar Insurance Company [2057]	$1,121	128%
Bright Healthcare [2222]	$1,208	138%
Molina [3017]	$1,251	143%
Wellpoint Marketplace Exchange [3071]	$1,337	152%
90 Degree Benefit [3057]	$1,423	162%
Allied National [2031]	$1,423	162%
Entrust/90 Degree [2058]	$1,423	162%
Friday Health Plan [2061]	$1,467	167%
Ambetter / Centene	$1,475	168%
Imperial Insurance Companies [3073]	$1,553	177%
Web Tpa [3049]	$1,596	182%
Evry Health [1013]	$1,725	197%
Sana Benefits [3069]	$1,725	197%
Velocity [3070]	$1,725	197%
Health Plans Inc [5017]	$2,157	246%
Medical Cost Containment Professionals [3059]	$2,157	246%
Dart Member Care [3039]	$2,329	265%
Healthscope Benefits [2052]	$2,329	265%
Healthscope Benefits [3063]	$2,329	265%
Medicaid / KanCare	$3,081	351%

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 $3,735.
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 Richardson 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.