CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $973
Cash Discount Price: $2,049
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Medical West, An Affiliate of UAB Health System is $973. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,049. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.11x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$2,049

Average discount available for prompt cash payment at this facility.

Insurance Median

$973

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: $2,049 (234%)

Insurance Median: $973 (111%)

Cash: $2,049 (234% of Medicare)

Ins. Median: $973 (111% 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
Cigna	$269 - $3,157	31%
UnitedHealthcare	$286 - $943	33%
Viva	$550 - $2,183	63%
Phcs	$659 - $3,056	75%
Beech Street	$681 - $3,056	78%
One Health Plan	$714 - $2,838	81%
Aetna	$769 - $3,056	88%
Geha	$769 - $3,056	88%
Healthchoice	$769 - $3,056	88%
Blue Cross Blue Shield	$778	89%
Cooper Green	$785	89%
Jefferson County Sheriff	$785	89%
Triwest	$785	89%
United Mine Workers	$785	89%
Humana	$833 - $3,711	95%
Alamed	$861 - $3,419	98%
Construction Claims Management	$889 - $3,533	101%
Multiplan	$901 - $3,580	103%
Corvel	$908 - $3,929	103%
Novanet	$918 - $3,646	105%
Department Of Labor	$956 - $3,798	109%
Heritage Summit Health	$956 - $3,798	109%
Pnoa	$989 - $3,929	113%
Three Rivers	$989 - $3,929	113%
Ambetter / Centene	$1,080	123%

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 $2,049.
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 Medical West, An Affiliate of UAB Health System 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.