CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Halifax Health Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,021
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Halifax Health Medical Center is $1,021. 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 1.16x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,021

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: $1,021 (116%)
Ins. Median: $1,021 (116% 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.

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
Embs $868 99%
Tricare $962 110%
Humana $991 - $2,032 113%
Aetna $1,021 - $2,166 116%
Americas Choice Provider Network $1,021 116%
Blue Cross Blue Shield $1,021 116%
Cigna $1,021 116%
Coventry $1,021 116%
Division Of The Blind $1,021 116%
Freedom Health $1,021 116%
Medicare (plans) $1,021 116%
Optimum Healthcare $1,021 116%
Sunshine State Health Plan $1,021 - $2,042 116%
UnitedHealthcare $1,021 116%
Wellcare $1,021 116%
Molina $1,042 119%
Devoted Health $1,062 121%
Independent Living Systems $1,072 122%
Longevity $1,072 122%
Prime Health Services $1,072 122%
Clear Spring Health Of Fl $1,113 127%
Evolutions $1,532 175%
Employers Health Network $2,042 233%
Fhcp $2,063 235%
Centivo $2,196 250%
Florida Healthcare $2,216 253%
Claimdoc $2,298 262%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals