CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Stephens County Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,215

about 1.4× the $877 Medicare rate · typically $831–$3,126

modeled estimate · not a bill or quote

What this hospital charges insurers

$990

Below the fair price — a good deal

about $225 under the fair price · 1.1× Medicare

Medicare pays $877 Fair price $1,215 This hospital $990 Cash price $1,519 Hospital's list price $2,532

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $287 Priciest $990

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

A fair price for a Sleep study (overnight, in lab) is about $1,215 (about 1.4× the $877 Medicare rate). Stephens County Hospital charges insurers about $990, or about $1,519 in cash — below the fair price — a good deal. Located in Toccoa, GA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$2,056 - $2,400	234%
Blue Cross Blue Shieldmajor	$1,870 - $2,183	213%
Aetnamajor	$1,986 - $2,319	226%
Cignamajor	$2,102 - $2,455	240%
Amerigroup	$751 - $877	86%
CareSource	$990	113%

Government programs also on file: Medicare, Medicaid.

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 1,519), 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 Stephens County Hospital 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 Stephens County Hospital

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

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