CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $5,755
Cash Discount Price: $5,755
vs. Medicare Baseline: 6.56x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Marshfield Medical Center - Rice Lake is $5,755. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,755. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 6.56x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$5,755

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,755

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: $5,755 (656%)

Insurance Median: $5,755 (656%)

Cash: $5,755 (656% of Medicare)

Ins. Median: $5,755 (656% 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 656% of the Medicare baseline (a markup of 556%). 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
Security Health Plan (Shp)	$1,930 - $2,638	220%
The Alliance	$2,337 - $5,755	266%
Blue Cross Blue Shield	$2,556 - $2,930	291%
Family Health Center (Fhc)	$3,029	345%
Amish/Mennonite	$3,332	380%
Sanford Health Plan	$3,332	380%
Group Health Cooperative Of Eau Claire	$4,968 - $5,816	566%
UnitedHealthcare	$4,992	569%
Molina Healthcare Of Wi	$5,149	587%
Besse Forest Products	$5,755	656%
Cigna	$5,755	656%
Corvel	$5,755	656%
First Health	$5,755	656%
Health Partners	$5,755	656%
Healtheos By Multiplan Inc.	$5,755	656%
Rice Lake School District	$5,755	656%
Medica Of Wi	$5,785 - $5,900	659%
Trilogy	$5,785 - $5,816	659%
Coventry	$5,816	663%
Health Smart	$5,816	663%
Rising Medical Work Comp	$5,876	670%
Wps Health Insurance	$5,907	673%
Three Rivers Provider Network (Trpn)	$5,937	677%

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 $5,755.
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 Marshfield Medical Center - Rice Lake 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.