CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: North Okaloosa Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,281
  • Cash Discount Price: $1,602
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at North Okaloosa Medical Center is $1,281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,602. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.46x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$1,602

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,281

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: $1,602 (183%)
Insurance Median: $1,281 (146%)
Cash: $1,602 (183% of Medicare)
Ins. Median: $1,281 (146% 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.

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
Veterans Eval Services $469 53%
Amerigroup $478 54%
Medicaid / KanCare $478 54%
UnitedHealthcare $478 - $3,547 54%
Simply Healthcare $487 - $927 56%
Humana $492 - $927 56%
Integral Health $502 57%
Wellcare $502 - $909 57%
Magellan Health $514 59%
Prestige Health $554 63%
Tricare $852 97%
Aetna $882 - $5,339 101%
Blue Cross Blue Shield $882 - $2,007 101%
Cigna $882 - $5,553 101%
Medicare (plans) $882 101%
Node Champva $897 102%
Node Non Par Hospice Agree $897 102%
Node Va $897 102%
Florida Department Of Corrections $971 111%
Node Us Dept Of Labor $1,121 128%
Self Pay $1,281 - $1,922 146%
State Auto Insurance Fl $1,794 204%
Occunet $2,242 256%
Corizon Health Inc $2,406 274%
Oscar $2,599 296%
Evolutions $4,983 - $6,264 568%
Usa Managed Care Work Comp Fl $5,390 614%
Prime Health Work Comp Fl $5,503 627%
Amcomp Workers Comp $5,674 647%
Phcs $6,407 730%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals