CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: UF Health Shands Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,021
Cash Discount Price: $3,144
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at UF Health Shands Hospital is $1,021. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,144. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.16x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.

Cash / Self-Pay

$3,144

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,021

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: $3,144 (358%)

Insurance Median: $1,021 (116%)

Cash: $3,144 (358% of Medicare)

Ins. Median: $1,021 (116% 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
Beacon Health Strategies	$526	60%
Humana	$526 - $906	60%
Sunshine State Health Plan	$526	60%
UnitedHealthcare	$526 - $1,021	60%
Aetna	$549 - $4,711	63%
Florida Community Care	$549	63%
Amerihealth Caritas Florida	$573	65%
Community Care Plan	$573	65%
Molina	$573	65%
Simply Healthcare	$636	72%
Blue Cross Blue Shield	$897 - $3,575	102%
Capital Health Plan	$897 - $2,858	102%
North Central Hospice	$897	102%
Wellcare	$897	102%
Careplus	$924	105%
Carelon Health	$951	108%
Ahf Mco Of Fl	$986	112%
Devoted Health Plan	$986	112%
Freedom Health- Inc./Optimum Healthcare- Inc.	$986	112%
Vha	$1,021	116%
Positive Healthcare Partners	$1,123	128%
Ghilcrest County	$1,277	146%
Levy County	$1,277	146%
Wellpath	$1,634	186%
Ambetter / Centene	$1,695	193%
Florida Health Care Plan	$1,838	209%
Uaa	$2,178	248%
Northeast Fl Hospital	$2,515	287%
Avmed	$3,448 - $3,627	393%
Health First	$4,002	456%
Prime Health Services	$4,002	456%
Cigna	$4,262	486%
Archbold Medical Center	$4,288	489%
Genex	$4,288	489%
Corvel Corp	$4,859	554%
Geha	$5,145	586%

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 $3,144.
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 UF Health Shands 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.