CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Faith Regional Health Services

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $737
Cash Discount Price: $3,696
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Faith Regional Health Services is $737. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,696. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.84x the Medicare baseline. Located in 2700 West Norfolk Ave, Norfolk, NE.

Cash / Self-Pay

$3,696

Average discount available for prompt cash payment at this facility.

Insurance Median

$737

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: $3,696 (421%)

Insurance Median: $737 (84%)

Cash: $3,696 (421% of Medicare)

Ins. Median: $737 (84% 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
Aetna	$475 - $950	54%
Blue Cross Blue Shield	$475 - $950	54%
Wellcare	$489 - $979	56%
UnitedHealthcare	$489 - $979	56%
Ambetter / Centene	$489 - $979	56%
Medica	$499 - $998	57%
Good Samaritan Insurance Plan	$499 - $998	57%
Great Plains	$499 - $998	57%
Molina	$523 - $1,045	60%

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 $3,696.
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 Faith Regional Health Services 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.