CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Southeast Georgia Health System- Brunswick Campus

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,609
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.97x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Southeast Georgia Health System- Brunswick Campus is $2,609. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.97x the Medicare baseline. Located in 2415 Parkwood Drive, Brunswick, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,609

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%)

Insurance Median: $2,609 (297%)

Ins. Median: $2,609 (297% 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 297% of the Medicare baseline (a markup of 197%). 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
Amerigroup_Community_Care	$174	20%
Caresource_Georgia_Families	$174	20%
Peachstate_Health_Plan	$174	20%
Blue Cross Blue Shield	$815 - $3,087	93%
Caresource	$815 - $1,223	93%
Humana	$815 - $3,870	93%
UnitedHealthcare	$815	93%
United_Healthcare_Veterans_Administration	$815	93%
Aetna	$832 - $3,696	95%
Clover_Health	$832	95%
Devoted_Health	$848	97%
Pruitthealth	$856	98%
Ambetter / Centene	$1,304	149%
Sea_Island	$3,087	352%
Sghs_Meritain	$3,087	352%
Coventryone_Hix	$3,305	377%
United_Healthcare	$3,357	383%
Medishare	$3,696	421%
Choicecare	$3,870	441%
Cigna	$3,870	441%
Industry_Buying_Group_Ibg	$3,870	441%
First_Health_Southcare	$3,913	446%
One_Health_Great_West	$3,913	446%
Pponext	$4,131	471%

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 $X.
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 Southeast Georgia Health System- Brunswick Campus 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.