CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Methodist Celina Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $978
Cash Discount Price: $3,735
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Methodist Celina Medical Center is $978. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,735. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.11x the Medicare baseline. Located in 1500 S Dallas Parkway, Celina, TX.

Cash / Self-Pay

$3,735

Average discount available for prompt cash payment at this facility.

Insurance Median

$978

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: $3,735 (426%)

Insurance Median: $978 (111%)

Cash: $3,735 (426% of Medicare)

Ins. Median: $978 (111% 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	$586 - $1,113	67%
Aetna	$863 - $1,398	98%
Mcs Advantage, Inc Classicare [7021]	$863	98%
Medicare (plans)	$863 - $923	98%
UnitedHealthcare	$863 - $914	98%
Ust Health Proof [1005]	$863	98%
Wellcare [7016]	$863	98%
American Health Advantage Of Texas [7099]	$906	103%
Cigna	$906 - $914	103%
Humana	$914	104%
Southwestern Health Resources Swhr [7015]	$914	104%
Champva [1000]	$978	111%
Tricare	$978	111%
Triwest Wps [8010]	$978	111%
Veterans Administration [9001]	$978	111%
Oscar Insurance Company [2057]	$1,121	128%
Molina [3017]	$1,251	143%
Wellpoint Marketplace Exchange [3071]	$1,337	152%
Kempton Group Administrators, Tower Extrusions [3061]	$1,380	157%
90 Degree Benefit [3057]	$1,423	162%
Allied National [2031]	$1,423	162%
Entrust/90 Degree [2058]	$1,423	162%
Department Of Labor [8004]	$1,725	197%
Evry Health [1013]	$1,725	197%
Generic Workers Comp Tx Non Par [9010]	$1,725	197%
Generic Workers Comp Tx Par [8002]	$1,725	197%
Generic Workers Comp Tx Par [9011]	$1,725	197%
Sana Benefits [3069]	$1,725	197%
Velocity [3070]	$1,725	197%
Health Plans Inc [5017]	$2,157	246%
Medical Cost Containment Professionals [3059]	$2,157	246%
Medicaid / KanCare	$5,623	641%

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 $3,735.
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 Methodist Celina Medical Center 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.