CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: University Hospital and Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,415
Cash Discount Price: $14,625
vs. Medicare Baseline: 3.89x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at University Hospital and Medical Center is $3,415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,625. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.89x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$14,625

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,415

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: $14,625 (1667%)

Insurance Median: $3,415 (389%)

Cash: $14,625 (1667% of Medicare)

Ins. Median: $3,415 (389% 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 389% of the Medicare baseline (a markup of 289%). 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	$1,258 - $2,340	143%
Optimum	$1,258	143%
Blue Cross Blue Shield	$1,506 - $3,364	172%
Avmed	$1,901 - $7,312	217%
Simply Healthcare Plans	$1,901	217%
Simply Healthcare	$1,974	225%
Oscar	$2,340	267%
Amerihealth Caritas	$2,486	283%
Molina	$2,779 - $3,949	317%
Cigna	$3,071	350%
Humana	$3,071 - $4,972	350%
Health Sun Health Plan	$3,115	355%
Mmm Of Fl (Health Advantage Plan)	$3,364	383%
United Ppo	$3,466	395%
Sunshine State Health Plan	$3,861	440%
United	$4,000 - $6,581	456%
Aetna	$4,387	500%
Plotkin Health	$7,312	833%
Prime Health Sherriff	$7,312	833%
Medica Healthcare	$8,482	967%
Multiplan	$10,969 - $12,431	1250%
Evernorth Bh	$11,700	1334%

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 $14,625.
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 University Hospital and Medical Center 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.