CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Shannon Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $4,025
Cash Discount Price: $2,905
vs. Medicare Baseline: 4.59x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Shannon Medical Center is $4,025. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,905. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.59x the Medicare baseline. Located in 120 E Harris Ave., San Angelo, TX.

Cash / Self-Pay

$2,905

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,025

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: $2,905 (331%)

Insurance Median: $4,025 (459%)

Cash: $2,905 (331% of Medicare)

Ins. Median: $4,025 (459% 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 459% of the Medicare baseline (a markup of 359%). 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
City Of San Angelo	$767 - $848	87%
Care Improvement	$955	109%
Humana	$955 - $4,878	109%
Wellmed	$955	109%
Wellpoint	$1,290	147%
Scott & White	$1,528	174%
Insurance Management Services	$1,557	177%
Insurance Services Of Lubbock	$1,557	177%
Blue Cross Blue Shield	$1,673 - $4,574	191%
Kempton Group	$1,911	218%
Pdh/Texas Trust	$1,911	218%
Ambetter / Centene	$2,054	234%
90 Degree Benefits	$2,388	272%
Caprock	$2,388	272%
Web Tpa	$2,484 - $2,744	283%
Aetna	$3,643 - $4,025	415%
Assurant Health	$3,643 - $4,025	415%
Cigna	$3,974 - $4,391	453%
First Health	$4,140 - $4,574	472%
UnitedHealthcare	$4,306 - $4,756	491%
Healthsmart	$4,913 - $5,427	560%

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 $2,905.
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 Shannon 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.