CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Holmes Regional Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,480
Cash Discount Price: $766
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Holmes Regional Medical Center is $1,480. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $766. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.69x the Medicare baseline. Located in 1350 S Hickory St, Melbourne, FL.

Cash / Self-Pay

$766

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,480

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: $766 (87%)

Insurance Median: $1,480 (169%)

Cash: $766 (87% of Medicare)

Ins. Median: $1,480 (169% 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
UnitedHealthcare	$79 - $3,064	9%
Health First Health Plan	$333 - $913	38%
Molina Healthcare	$478 - $3,432	54%
Humana	$487 - $3,064	56%
Aetna	$502 - $3,370	57%
Amerigroup	$502 - $3,217	57%
Sunshine Health Plan	$502 - $3,217	57%
Corizon Health	$897	102%
Florida Healthcare Plans	$968	110%
Cigna	$1,180 - $1,262	134%
Florida Blue	$1,439 - $1,541	164%
Disney Cruise Line	$1,838	209%
Prime Heath Services, Inc.	$2,298	262%
Multiplan	$2,451	279%

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 $766.
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 Holmes Regional Medical Center 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.