CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Lake Granbury Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,750
  • Cash Discount Price: $1,953
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Lake Granbury Medical Center is $1,750. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,953. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.99x the Medicare baseline. Located in 1310 Paluxy Rd, Granbury, TX.
Cash / Self-Pay
$1,953

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,750

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: $1,953 (223%)
Insurance Median: $1,750 (199%)
Cash: $1,953 (223% of Medicare)
Ins. Median: $1,750 (199% 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
Veterans Eval Services $469 53%
Self Pay $521 - $955 59%
Tricare $820 93%
Node Champva $863 98%
Cigna $926 - $3,419 106%
Humana $926 106%
Medicare (plans) $926 106%
UnitedHealthcare $926 - $3,689 106%
Hospice Non Par $941 107%
Node Va $941 107%
Triwest $941 107%
Aetna $944 - $5,962 108%
Blue Cross Blue Shield $944 - $3,262 108%
Node Care N Care $944 108%
American Health $963 110%
Provider Partners Health Plan $969 110%
Node Amerigroup Mcr Adv $972 111%
Superior $972 - $2,577 111%
Node Us Dept Of Labor $1,176 134%
Medicaid / KanCare $1,180 - $4,461 134%
Amerigroup $1,239 141%
Healthspring $1,239 141%
Node Brookshire Brothers $1,646 188%
93% Payors Work Comp Tx $1,750 199%
Node Brookshire Brothers Work Comp Tx $1,750 199%
Work Comp $1,881 214%
Healthsmart $4,773 - $6,075 544%
Multiplan $6,508 - $7,637 742%
Santa Fe Hospital Association $6,942 791%
Galaxy Health $8,244 940%
Medcorp Southwest $8,244 940%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1310 Paluxy Rd, Granbury, TX 76048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals