CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Baptist Medical Center - Nassau

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $3,421
  • Cash Discount Price: $5,732
  • vs. Medicare Baseline: 3.90x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Baptist Medical Center - Nassau is $3,421. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,732. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.90x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$5,732

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,421

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: $5,732 (653%)
Insurance Median: $3,421 (390%)
Cash: $5,732 (653% of Medicare)
Ins. Median: $3,421 (390% 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 390% of the Medicare baseline (a markup of 290%). 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
Amerigroup Of Georgia $478 54%
Daniel Memorial $478 54%
Humana $478 54%
Nassaua County Sheriff'S Office $478 54%
Simply Healthcare Plans $502 - $573 57%
Simply Healthcare Plans - Cha $502 57%
Corvel $509 - $9,060 58%
Coventry Workers Comp $509 - $9,060 58%
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%
Community Hospice Of Northeast Florida $1,021 116%
Pace $1,021 116%
Tomorrow'S Rainbow $1,021 116%
Va Ccn $1,021 116%
UnitedHealthcare $1,031 - $4,539 118%
Devoted $1,083 123%
Upmc $1,123 128%
Ambetter / Centene $2,451 279%
Blue Cross Blue Shield $2,681 - $6,009 306%
Avmed $2,958 - $6,934 337%
Borland Groover $3,698 422%
Occunet $3,698 422%
Northeast Florida State Hospital $3,883 443%
Centivo $4,068 - $7,858 464%
Capital Health Plan $4,253 485%
Geo Group $4,622 527%
Watchtower $5,085 580%
Peach State Health Plan $5,133 585%
Fscj Student Insurance $5,547 632%
Savannah Grand Of Amelia Island $5,547 632%
Cigna $5,732 - $7,063 653%
Suddath Company $5,824 664%
Medicaid / KanCare $6,009 685%
Phcs $6,934 790%
Evolutions Healthcare $8,320 948%
Multiplan $8,320 948%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals