CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: HCA Florida Northwest Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,662
Cash Discount Price: $15,682
vs. Medicare Baseline: 4.17x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at HCA Florida Northwest Hospital is $3,662. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,682. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 4.17x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$15,682

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,662

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: $15,682 (1787%)

Insurance Median: $3,662 (417%)

Cash: $15,682 (1787% of Medicare)

Ins. Median: $3,662 (417% 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 417% of the Medicare baseline (a markup of 317%). 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	$525 - $5,861	60%
Careworks (Rockport)	$536 - $5,985	61%
Prime Health	$536 - $5,985	61%
Freedom Health	$1,349 - $2,509	154%
Optimum	$1,349	154%
Blue Cross Blue Shield	$1,568 - $3,544	179%
Avmed	$2,039 - $7,841	232%
Simply Healthcare Plans	$2,039	232%
Simply Healthcare	$2,117	241%
Oscar	$2,509	286%
Amerihealth Caritas	$2,666	304%
Molina	$2,980 - $4,234	340%
Cigna	$3,293	375%
Humana	$3,293 - $5,332	375%
Health Sun Health Plan	$3,340	381%
Mmm Of Fl (Health Advantage Plan)	$3,607	411%
United Ppo	$3,717	424%
United	$4,000 - $7,057	456%
Sunshine State Health Plan	$4,140	472%
Aetna	$4,705	536%
Blis	$5,489	626%
Plotkin Health	$7,841	894%
Prime Health Sherriff	$7,841	894%
Medica Healthcare	$9,096	1037%
Multiplan	$11,762 - $13,330	1341%

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 $15,682.
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 Northwest 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.