CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: HCA Florida Northside Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $983
Cash Discount Price: $5,460
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at HCA Florida Northside Hospital is $983. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,460. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.12x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$5,460

Average discount available for prompt cash payment at this facility.

Insurance Median

$983

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: $5,460 (622%)

Insurance Median: $983 (112%)

Cash: $5,460 (622% of Medicare)

Ins. Median: $983 (112% 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	$257	29%
Access 2 Healthcare Physicians Freedom Health	$393	45%
Access 2 Healthcare Physicians Optimum	$393	45%
Freedom Health Care	$426	49%
Optimum Healthcare	$426	49%
Avmed	$437 - $1,365	50%
Suncoast Neighborly Care	$437	50%
Blue Cross Blue Shield	$475 - $1,146	54%
Truli	$475 - $672	54%
Corvel Corporation	$493 - $5,413	56%
Rockport Healthcare Group	$493 - $5,413	56%
Prime Health	$503 - $5,526	57%
Simply Healthcare	$693 - $841	79%
Oscar	$819	93%
United	$895 - $2,457	102%
Cigna	$983	112%
Molina	$1,037 - $1,474	118%
Evolutions Healthcare Systems	$1,256 - $5,023	143%
Sunshine State Health Plan	$1,392	159%
Humana	$1,529	174%
Aetna	$1,638	187%
Plotkin Health	$2,730	311%
Prime Health Sheriff	$2,730	311%
Multiplan	$4,095 - $4,641	467%

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 $5,460.
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 Northside 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.