CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Riverview Regional Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$845

about 1.0× the $877 Medicare rate · typically $769–$845

modeled estimate · not a bill or quote

What this hospital charges insurers

$766

About the fair price

about $79 under the fair price · 0.9× Medicare

Medicare pays $877 Fair price $845 This hospital $766 Cash price $766 Hospital's list price $7,470

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $430 Priciest $766

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $845 (about 1.0× the $877 Medicare rate). Riverview Regional Medical Center charges insurers about $766, or about $766 in cash — about the fair price. Located in Gadsden, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$171 - $766	19%
Blue Cross Blue Shieldmajor	$766 - $972	87%
Cignamajor	$766	87%
Humanamajor	$728	83%
Devoted Health	$782	89%
+ 6 smaller / regional plans	$759 - $1,533

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 766), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Riverview Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Riverview Regional Medical Center

Compare: Sleep study (overnight, in lab) at other AL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.