CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mease Dunedin Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,179
Cash Discount Price: $2,612
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Mease Dunedin Hospital is $1,179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,612. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.34x the Medicare baseline. Located in 601 Main St, Dunedin, FL.

Cash / Self-Pay

$2,612

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,179

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: $2,612 (298%)

Insurance Median: $1,179 (134%)

Cash: $2,612 (298% of Medicare)

Ins. Median: $1,179 (134% 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
Molina	$212 - $4,449	24%
Simply Healthcare	$212 - $1,355	24%
Freedom	$236 - $1,506	27%
Optimum	$236 - $1,506	27%
Careplus	$269 - $1,720	31%
Blue Cross Blue Shield	$346 - $7,528	39%
Ultimate Health Plan	$354 - $2,258	40%
Avmed	$365 - $5,420	42%
Clear Health Alliance	$483	55%
UnitedHealthcare	$487 - $6,775	56%
Humana	$497 - $1,277	57%
Freedom Health	$502	57%
Molina Healthcare	$502	57%
Sunshine Health	$502	57%
Aetna	$511 - $6,135	58%
Florida Community Care	$526	60%
Evolutions	$590 - $7,001	67%
Cigna	$621 - $7,528	71%
First Health	$1,002 - $6,399	114%
Baycareplus	$1,021	116%
Multiplan	$1,061 - $6,775	121%
Solis Health	$1,123	128%
Ambetter / Centene	$1,179 - $7,528	134%
United Behavioral Health	$1,179 - $7,528	134%
Wellcare	$1,430	163%

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 $2,612.
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 Mease Dunedin 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.