CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Coryell Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $665
Cash Discount Price: $1,535
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Coryell Memorial Hospital is $665. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,535. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.76x the Medicare baseline. Located in 1507 W Main Street, Gatesville, TX.

Cash / Self-Pay

$1,535

Average discount available for prompt cash payment at this facility.

Insurance Median

$665

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: $1,535 (175%)

Insurance Median: $665 (76%)

Cash: $1,535 (175% of Medicare)

Ins. Median: $665 (76% 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
Blue Cross Blue Shield	$237 - $3,846	27%
Aetna	$262 - $4,086	30%
Coventry	$262 - $4,086	30%
Healthrisk Resource Group	$262 - $4,086	30%
Three Rivers	$262 - $4,086	30%
UnitedHealthcare	$308 - $4,807	35%
Humana	$311 - $4,855	35%
Multiplan	$311 - $4,855	35%
Scott And White	$311 - $4,855	35%
Superior	$311 - $4,855	35%
Triwest	$311 - $4,855	35%
Firstcare	$467 - $7,283	53%
Cigna	$665	76%

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 $1,535.
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 Coryell Memorial 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.