CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: USA Health Children's & Women's Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,646
Cash Discount Price: $2,988
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at USA Health Children's & Women's Hospital is $1,646. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,988. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.88x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$2,988

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,646

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: $2,988 (341%)

Insurance Median: $1,646 (188%)

Cash: $2,988 (341% of Medicare)

Ins. Median: $1,646 (188% 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
Central Healthcare Services	$178 - $1,950	20%
Blue Cross Blue Shield	$660	75%
Aetna	$674 - $2,144	77%
Devoted Health	$674 - $2,729	77%
Humana	$674 - $2,534	77%
UnitedHealthcare	$674 - $2,105	77%
Viva Health	$674 - $1,950	77%
Wellcare	$674	77%
Molina Marketplace	$741	84%
Magnolia Health	$775	88%
Truecare	$775	88%
Ambetter / Centene	$808	92%
Molina Chip	$852	97%
Mississippi Physicians Care Network (Mpcn)	$909	104%
Cigna	$1,393 - $2,534	159%
Multiplan	$1,902 - $2,729	217%
Novanet	$2,633 - $3,509	300%

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 $2,988.
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 USA Health Children's & Women's Hospital 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.