CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Medical City Plano

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,154

about 1.3× the $877 Medicare rate · typically $903–$2,063

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,954

Above the fair price

about $800 over the fair price · 2.2× Medicare

Medicare pays $877 Fair price $1,154 This hospital $1,954 Cash price $13,015 Hospital's list price $13,015

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 $1,954

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 $1,154 (about 1.3× the $877 Medicare rate). Medical City Plano charges insurers about $1,954, or about $13,015 in cash — above the fair price. Located in Plano, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,154. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$1,927 - $3,130	220%
Blue Cross Blue Shieldmajor	$1,182 - $5,779	135%
Aetnamajor	$1,153 - $7,874	131%
Cignamajor	$1,757 - $4,855	200%
Humanamajor	$3,448	393%
Fidelis Care	$5,857	668%
Health Net	$9,111	1038%
Healthcare Highways	$3,189 - $4,399	363%
Oscar Health	$2,707	309%
UniCare	$13,015	1483%
+ 15 smaller / regional plans	$3,358 - $13,015

Government programs also on file: Medicaid.

Excludes 5 rental-network / third-party entries (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 13,015), 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 Medical City Plano 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 Medical City Plano

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

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