CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: HCA Florida Blake Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,158
Cash Discount Price: $6,363
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at HCA Florida Blake Hospital is $1,158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,363. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.32x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.

Cash / Self-Pay

$6,363

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,158

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: $6,363 (725%)

Insurance Median: $1,158 (132%)

Cash: $6,363 (725% of Medicare)

Ins. Median: $1,158 (132% 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.

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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$299	34%
Access 2 Healthcare Physicians Freedom Health	$458	52%
Access 2 Healthcare Physicians Optimum	$458	52%
Corvel Corporation	$493 - $5,413	56%
Rockport Healthcare Group	$493 - $5,413	56%
Freedom Health Care	$496	57%
Optimum Healthcare	$496	57%
Prime Health	$503 - $5,526	57%
Avmed	$509 - $1,591	58%
Truli	$694 - $872	79%
Blue Cross Blue Shield	$719 - $1,343	82%
Simply Healthcare	$935 - $1,082	107%
Oscar	$954	109%
United	$1,044 - $2,863	119%
Cigna	$1,107	126%
Molina	$1,209 - $1,718	138%
Evolutions Healthcare Systems	$1,463 - $5,854	167%
Sunshine State Health Plan	$1,623	185%
Humana	$1,782	203%
Aetna	$1,909	218%
Behealthy America	$2,482	283%
Healthcare Sarasota	$3,181	363%
Plotkin Health	$3,181	363%
Prime Health Sheriff	$3,181	363%
Multiplan	$4,772 - $5,409	544%

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 $6,363.
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 Blake 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.