CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $3,698
  • Cash Discount Price: $6,287
  • vs. Medicare Baseline: 4.22x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Baptist Health Medical Center - Jacksonville is $3,698. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,287. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.22x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$6,287

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,698

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: $6,287 (717%)
Insurance Median: $3,698 (422%)
Cash: $6,287 (717% of Medicare)
Ins. Median: $3,698 (422% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 422% of the Medicare baseline (a markup of 322%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Corvel $251 - $9,060 29%
Coventry Workers Comp $251 - $9,060 29%
Non-Contracted $256 - $1,387 29%
Amerigroup Of Georgia $478 54%
Caresource Of Georgia $478 - $6,009 54%
Daniel Memorial $478 54%
Humana $478 - $526 54%
Peach State Health Plan $478 - $5,133 54%
Simply Healthcare Plans $502 - $573 57%
Simply Healthcare Plans - Cha $502 57%
Amerihealth Caritas $526 60%
Florida Community Care $526 - $1,072 60%
Sunshine State Health Plan $526 60%
United Community Plan $526 60%
Vivida Health $526 60%
Molina Healthcare Of Florida $569 65%
Aetna $573 - $7,396 65%
Nemours Research $983 112%
Community Hospice Of Northeast Florida $1,017 - $1,021 116%
Pace $1,017 - $1,021 116%
Tomorrow'S Rainbow $1,017 - $1,021 116%
Va Ccn $1,017 - $1,021 116%
UnitedHealthcare $1,028 - $4,844 117%
Devoted $1,078 - $1,083 123%
Upmc $1,119 - $1,123 128%
Ambetter / Centene $2,442 - $2,451 278%
Blue Cross Blue Shield $2,681 - $6,009 306%
Avmed $2,958 - $4,807 337%
Cigna $3,606 - $5,639 411%
Borland Groover $3,698 422%
Occunet $3,698 - $4,622 422%
Northeast Florida State Hospital $3,883 - $4,345 443%
Centivo $4,068 - $7,858 464%
Capital Health Plan $4,253 485%
Innovative Healthware Services $4,345 495%
Geo Group $4,622 527%
Volusia Health Network $5,085 580%
Watchtower $5,085 580%
Fscj Student Insurance $5,547 632%
Suddath Company $5,824 664%
Medicaid / KanCare $6,009 685%
Uf Health Proton Therapy Institute $6,472 738%
Phcs $6,934 - $7,396 790%
Evolutions Healthcare $8,320 948%
Multiplan $8,320 948%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals