CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Cleveland Clinic Martin North Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $662
Cash Discount Price: $5,246
vs. Medicare Baseline: 0.75x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Cleveland Clinic Martin North Hospital is $662. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,246. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.75x the Medicare baseline. Located in 200 Se Hospital Ave, Stuart, FL.

Cash / Self-Pay

$5,246

Average discount available for prompt cash payment at this facility.

Insurance Median

$662

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: $5,246 (598%)

Insurance Median: $662 (75%)

Cash: $5,246 (598% of Medicare)

Ins. Median: $662 (75% 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
Blue Cross Blue Shield	$92 - $1,021	10%
Avmed	$114 - $3,932	13%
Miami Childrens Health Plan	$114 - $1,021	13%
United	$114 - $3,913	13%
Careplus	$120 - $1,072	14%
Freedom Health	$120 - $1,072	14%
Independent Living Systems	$120 - $644	14%
Clear Spring Health	$123 - $913	14%
Cigna	$141 - $4,060	16%
Aetna	$142 - $8,232	16%
Multiplan	$171 - $920	19%
Amerihealth	$495	56%
Molina	$504	57%
Sunshine Health	$504	57%
Clarity Health	$699 - $5,946	80%
The Legacy Companies	$699 - $5,946	80%
Consociate Health	$807 - $6,860	92%
Humana	$1,021	116%
Wellcare	$1,021	116%
Devoted Health	$1,123	128%
Bmi	$4,439	506%

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 $5,246.
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 Cleveland Clinic Martin North 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.