CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Methodist Richardson Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,047

about 1.2× the $877 Medicare rate · typically $711–$1,711

modeled estimate · not a bill or quote

What this hospital charges insurers

$927

Below the fair price — a good deal

about $120 under the fair price · 1.1× Medicare

Medicare pays $877 Fair price $1,047 This hospital $927 Cash price $3,735 Hospital's list price $7,469

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $218 Priciest $927

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $1,047 (about 1.2× the $877 Medicare rate). Methodist Richardson Medical Center charges insurers about $927, or about $3,735 in cash — below the fair price — a good deal. Located in Richardson, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$716 - $923	82%
Blue Cross Blue Shieldmajor	$323 - $1,337	37%
Aetnamajor	$863 - $1,398	98%
Cignamajor	$906 - $1,596	103%
Humanamajor	$914	104%
Ambetter (Centene)	$1,475	168%
Bright Health	$1,208	138%
Friday Health	$1,467	167%
Molina	$1,251	143%
Oscar Health	$1,121	128%
WellCare	$863	98%
+ 20 smaller / regional plans	$863 - $2,329

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,735), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Methodist Richardson Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Methodist Richardson Medical Center

Compare: Sleep study (overnight, in lab) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.