CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Sarasota Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $476
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.54x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Sarasota Memorial Hospital is $476. 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 0.54x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$476

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: $476 (54%)

Ins. Median: $476 (54% 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
Simply Healthcare Oncology	$93 - $411	11%
Sunshine State Oncology	$93 - $411	11%
Molina Oncology	$96 - $423	11%
Amerihealth Caritas Oncology	$97 - $431	11%
Community Care Plan Oncology	$97 - $431	11%
Blue Cross Blue Shield	$109 - $1,021	12%
Florida Community Care Oncology	$117 - $570	13%
UnitedHealthcare	$119 - $1,052	14%
Wellcare Oncology	$122 - $509	14%
Simply Freedom Optimum Oncology	$126 - $496	14%
Aetna	$131 - $5,785	15%
Oscar Oncology	$194 - $779	22%
Ambetter / Centene	$306 - $2,757	35%
Simply Healthcare	$478 - $502	54%
Sunshine State	$502	57%
Molina	$516	59%
Amerihealth Caritas	$526	60%
Community Care Plan	$526	60%
Florida Community Care	$526 - $1,123	60%
Simply Freedom Optimum	$1,072	122%
Wellcare	$1,072	122%
Careworks	$5,785	659%
Enlyte	$5,785	659%

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 $X.
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 Sarasota Memorial 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.