CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Baptist Medical Center Beaches

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$965

about 1.1× the $877 Medicare rate · typically $695–$1,669

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,021

About the fair price

about $56 over the fair price · 1.2× Medicare

Medicare pays $877 Fair price $965 This hospital $1,021 Cash price $5,732 Hospital's list price $9,245

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $431 Priciest $1,021

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $965 (about 1.1× the $877 Medicare rate). Baptist Medical Center Beaches charges insurers about $1,021, or about $5,732 in cash — about the fair price. Located in Jacksonville Beach, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$526 - $4,844	60%
Blue Cross Blue Shieldmajor	$2,681 - $6,009	306%
Aetnamajor	$573 - $7,396	65%
Cignamajor	$3,883 - $5,639	443%
Ambetter (Centene)	$2,451	279%
Amerigroup	$478	54%
AmeriHealth	$526	60%
AvMed	$2,958 - $4,715	337%
CareSource	$6,009	685%
Devoted Health	$1,083	123%
Molina	$569	65%
Simply Healthcare	$502 - $573	57%
UPMC Health Plan	$1,123	128%
+ 16 smaller / regional plans	$478 - $7,858

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 5,732), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Baptist Medical Center Beaches is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baptist Medical Center Beaches

Compare: Sleep study (overnight, in lab) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.