CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Kell West Regional Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,062
Cash Discount Price: $1,967
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Kell West Regional Hospital is $1,062. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,967. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.21x the Medicare baseline. Located in 5420 Kell West Boulevard, Wichita Falls, TX.

Cash / Self-Pay

$1,967

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,062

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: $1,967 (224%)

Insurance Median: $1,062 (121%)

Cash: $1,967 (224% of Medicare)

Ins. Median: $1,062 (121% 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
Aetna	$668 - $955	76%
Blue Cross Blue Shield	$936 - $1,132	107%
Medicare (plans)	$936	107%
Humana	$955 - $2,594	109%
Medadv_Uhc	$955	109%
Blue_Advantage_Bav	$962	110%
Blue_Essentials	$1,017	116%
Tricare	$1,023	117%
UnitedHealthcare	$1,100	125%
Cigna	$1,396 - $2,793	159%
Healthsmart_Ppo	$2,793	318%
Phcs	$2,992	341%
Self_Pay	$3,192	364%
Multiplan	$3,392	387%

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 $1,967.
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 Kell West Regional Hospital 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.