CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Memorial Hospital of Carbon County

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,176
Cash Discount Price: $2,151
vs. Medicare Baseline: 2.48x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Memorial Hospital of Carbon County is $2,176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,151. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.48x the Medicare baseline. Located in 2221 West Elm Street, Rawlins, WY.

Cash / Self-Pay

$2,151

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,176

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: $2,151 (245%)

Insurance Median: $2,176 (248%)

Cash: $2,151 (245% of Medicare)

Ins. Median: $2,176 (248% 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 248% of the Medicare baseline (a markup of 148%). 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
Three_River_Providers_Network	$1,165 - $3,138	133%
Wise_Provider_Networks	$1,165 - $3,138	133%
Zelis	$1,165 - $3,138	133%
Corechoice	$1,398 - $3,766	159%
First_Choice_Health	$1,398 - $3,766	159%
Blue Cross Blue Shield	$1,429 - $3,849	163%
Cigna	$1,444 - $3,891	165%
UnitedHealthcare	$1,491 - $4,017	170%
Interwests_Ppo_Network	$1,506 - $4,058	172%
Multiplan	$1,506 - $4,058	172%
Medicare (plans)	$2,176	248%
Vaccn	$2,176	248%
Medicaid / KanCare	$4,184	477%

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 $2,151.
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 Memorial Hospital of Carbon County 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.