CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,590
Cash Discount Price: $15,059
vs. Medicare Baseline: 2.95x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at HCA Florida Pasadena Hospital A Part of HCA Florid is $2,590. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,059. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.95x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$15,059

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,590

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: $15,059 (1716%)

Insurance Median: $2,590 (295%)

Cash: $15,059 (1716% of Medicare)

Ins. Median: $2,590 (295% 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 295% of the Medicare baseline (a markup of 195%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Corvel Corporation	$493 - $5,413	56%
Rockport Healthcare Group	$493 - $5,413	56%
Prime Health	$503 - $5,526	57%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$708	81%
Access 2 Healthcare Physicians Freedom Health	$1,084	124%
Access 2 Healthcare Physicians Optimum	$1,084	124%
Freedom Health Care	$1,175	134%
Optimum Healthcare	$1,175	134%
Avmed	$1,205 - $3,765	137%
Suncoast Neighborly Care	$1,205	137%
Blue Cross Blue Shield	$1,235 - $3,147	141%
Truli	$1,235	141%
United	$1,886 - $6,777	215%
Simply Healthcare	$1,912 - $2,319	218%
Oscar	$2,259	257%
Cigna	$2,711	309%
Molina	$2,861 - $4,066	326%
Evolutions Healthcare Systems	$3,464 - $13,854	395%
Sunshine State Health Plan	$3,840	438%
Humana	$4,217	481%
Aetna	$4,518	515%
Plotkin Health	$7,530	858%
Prime Health Sheriff	$7,530	858%
Multiplan	$11,294 - $12,800	1287%

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 $15,059.
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 HCA Florida Pasadena Hospital A Part of HCA Florid 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.