CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Holmes Regional Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,842

about 2.1× the $877 Medicare rate · typically $1,144–$2,845

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,439

Below the fair price — a good deal

about $403 under the fair price · 1.6× Medicare

Medicare pays $877 Fair price $1,842 This hospital $1,439 Cash price $766 Hospital's list price $3,064

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 $1,439

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 $1,842 (about 2.1× the $877 Medicare rate). Holmes Regional Medical Center charges insurers about $1,439, or about $766 in cash — below the fair price — a good deal. Located in Melbourne, 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	$79 - $3,064	9%
Blue Cross Blue Shieldmajor	$1,439 - $1,541	164%
Aetnamajor	$502 - $3,370	57%
Cignamajor	$1,180 - $1,262	134%
Humanamajor	$487 - $3,064	56%
Amerigroup	$502 - $3,217	57%
Molina	$478 - $3,432	54%
+ 5 smaller / regional plans	$502 - $3,217

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 (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 Holmes 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 Holmes Regional Medical Center

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

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