CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Northside Hospital Forsyth

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,404

about 1.6× the $877 Medicare rate · typically $511–$1,797

modeled estimate · not a bill or quote

What this hospital charges insurers

$365

Below the fair price — a good deal

about $1,039 under the fair price · 0.4× Medicare

Medicare pays $877 Fair price $1,404 This hospital $365 Cash price $2,874 Hospital's list price $3,833

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

One of the lower prices — 6 of 8 other GA hospitals charge more for the same procedure.

Cheapest $287 Priciest $547

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $1,404 (about 1.6× the $877 Medicare rate). Northside Hospital Forsyth charges insurers about $365, or about $2,874 in cash — below the fair price — a good deal. Located in Cumming, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$121 - $2,831	14%
Blue Cross Blue Shieldmajor	$121 - $5,096	14%
Aetnamajor	$121 - $4,972	14%
Cignamajor	$125 - $4,607	14%
Humanamajor	$121 - $893	14%
Kaiser Permanentemajor	$121 - $2,178	14%
Ambetter (Centene)	$223 - $3,437	25%
Amerigroup	$881 - $1,040	100%
CareSource	$121 - $2,720	14%
Clover Health	$127 - $901	14%
Health Net	$199 - $4,533	23%
Oscar Health	$164 - $3,437	19%
WellCare	$121 - $884	14%
+ 23 smaller / regional plans	$127 - $7,312

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,874), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Northside Hospital Forsyth is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Northside Hospital Forsyth

Compare: Sleep study (overnight, in lab) at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.