CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $5,413
Cash Discount Price: $33,448
vs. Medicare Baseline: 6.17x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at HCA Florida Oak Hill Hospital is $5,413. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33,448. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 6.17x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.

Cash / Self-Pay

$33,448

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,413

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: $33,448 (3812%)

Insurance Median: $5,413 (617%)

Cash: $33,448 (3812% of Medicare)

Ins. Median: $5,413 (617% 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 617% of the Medicare baseline (a markup of 517%). 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	$493 - $5,413	56%
Rockport Healthcare Group	$493 - $5,413	56%
Prime Health	$503 - $5,526	57%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$1,572	179%
United	$1,886 - $15,052	215%
Access 2 Healthcare Physicians Freedom Health	$2,408	274%
Access 2 Healthcare Physicians Optimum	$2,408	274%
Freedom Health Care	$2,609	297%
Optimum Healthcare	$2,609	297%
Avmed	$2,676 - $8,362	305%
Blue Cross Blue Shield	$2,676 - $6,723	305%
Truli	$2,676 - $4,081	305%
Simply Healthcare	$4,248 - $5,151	484%
Oscar	$5,017	572%
Cigna	$5,820	663%
Molina	$6,355 - $9,031	724%
Evolutions Healthcare Systems	$7,693 - $30,772	877%
Sunshine State Health Plan	$8,529	972%
Humana	$9,365	1067%
Aetna	$10,034	1144%
Plotkin Health	$16,724	1906%
Prime Health Sheriff	$16,724	1906%
Multiplan	$25,086 - $28,431	2859%

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 $33,448.
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 Oak Hill 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.