CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Yoakum County Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,339
Cash Discount Price: $4,770
vs. Medicare Baseline: 3.81x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Yoakum County Hospital is $3,339. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,770. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.81x the Medicare baseline. Located in 412 Mustang Avenue, Denver City, TX.

Cash / Self-Pay

$4,770

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,339

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: $4,770 (544%)

Insurance Median: $3,339 (381%)

Cash: $4,770 (544% of Medicare)

Ins. Median: $3,339 (381% 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 381% of the Medicare baseline (a markup of 281%). 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
90 Degree Benefits	$124	14%
Cigna	$3,100	353%
Humana	$3,100	353%
Insurance Services Of Lubbock	$3,100	353%
UnitedHealthcare	$3,100 - $3,816	353%
Firstcare	$3,148 - $3,339	359%
Multiplan	$3,148 - $4,174	359%
Aetna	$3,163 - $4,054	361%
Dars	$3,339	381%
Blue Cross Blue Shield	$3,354 - $3,947	382%
Healthsmart	$4,031	459%
Phcs	$4,054	462%
Capstar	$4,293	489%
Provider Network	$4,651	530%

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 $4,770.
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 Yoakum County 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.