CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: University of Alabama Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $4,790
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.46x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at University of Alabama Hospital is $4,790. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 5.46x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,790

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%)
Insurance Median: $4,790 (546%)
Ins. Median: $4,790 (546% 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 546% of the Medicare baseline (a markup of 446%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Viva $262 - $920 30%
Humana $838 - $7,129 96%
Birmingham Fc $911 104%
Blue Cross Blue Shield $911 104%
Cooper Green $911 104%
Davita Villagehealth $911 104%
Jefferson County Sheriff $911 104%
Triwest $911 104%
UnitedHealthcare $911 - $7,468 104%
Cigna $975 - $6,395 111%
Ambetter / Centene $1,252 143%
University Of Alabama $1,578 - $4,194 180%
Aetna $1,925 - $5,116 219%
Coventry $2,051 - $6,772 234%
North Alabama Managed Care $2,051 - $5,452 234%
Comp One $2,272 - $6,039 259%
Construction Claims Management $2,361 - $6,273 269%
Alamed $2,367 - $6,290 270%
Corvel $2,525 - $6,710 288%
Evolutions $2,525 - $7,548 288%
Healthcare Alliance $2,525 - $6,710 288%
Novanet $2,525 - $7,548 288%
Prime Health Services $2,525 - $7,548 288%
Select Value Care $2,525 - $6,710 288%
Starcare $2,525 - $6,710 288%
Tethys $2,525 - $6,710 288%
Multiplan $2,588 - $6,877 295%
Department Of Labor $2,683 - $7,129 306%
Geha $2,683 - $7,129 306%
Gulf Health Plans $2,683 - $7,129 306%
Heritage Summit Health $2,683 - $7,129 306%
Mississippi Physicians $2,683 - $7,129 306%
Phifer $2,683 - $7,129 306%
Preferred Health Partnership $2,683 - $7,129 306%
Southern Nuclear $2,683 - $7,129 306%
Vantage Health Plan $2,683 - $7,129 306%
Galaxy Health Network $2,840 - $7,548 324%
National Provider Network $2,840 - $7,548 324%
North Mississippi Health Link $2,840 - $7,548 324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals