CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Halifax Health Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$956

about 1.1× the $877 Medicare rate · typically $820–$1,030

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,031

About the fair price

about $75 over the fair price · 1.2× Medicare

Medicare pays $877 Fair price $956 This hospital $1,031

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $431 Priciest $1,031

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

A fair price for a Sleep study (overnight, in lab) is about $956 (about 1.1× the $877 Medicare rate). Halifax Health Medical Center charges insurers about $1,031 — about the fair price. Located in Daytona Beach, FL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$1,021	116%
Blue Cross Blue Shieldmajor	$1,021	116%
Aetnamajor	$1,021 - $2,166	116%
Cignamajor	$1,021	116%
Humanamajor	$991 - $2,032	113%
Devoted Health	$1,062	121%
Health Net	$2,042	233%
Molina	$1,042	119%
WellCare	$1,021	116%
+ 12 smaller / regional plans	$868 - $2,298

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

Excludes 2 rental-network / third-party entries (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, 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 Halifax Health 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 Halifax Health Medical Center

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

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