CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Atrium Health Floyd Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,213
Cash Discount Price: $4,284
vs. Medicare Baseline: 3.66x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Atrium Health Floyd Medical Center is $3,213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,284. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.66x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$4,284

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,213

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: $4,284 (488%)

Insurance Median: $3,213 (366%)

Cash: $4,284 (488% of Medicare)

Ins. Median: $3,213 (366% 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 366% of the Medicare baseline (a markup of 266%). 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
Blue Cross Blue Shield	$991 - $6,426	113%
Caresource	$991 - $1,487	113%
Cigna	$991 - $5,141	113%
Georgia Assurance	$991	113%
Humana	$991 - $5,569	113%
UnitedHealthcare	$991 - $6,426	113%
Aetna	$1,001 - $5,826	114%
Wellcare	$1,011	115%
Clover	$1,021	116%
Amerigroup	$1,449	165%
Peach State Health Plan	$1,463	167%
Alliant Health Plans	$1,487 - $3,427	169%
Ambetter / Centene	$1,487	169%
Occunet	$1,487	169%
Oscar Health Plan	$1,671 - $2,999	190%
Awc Networks	$1,672	191%
Beacon	$4,284	488%
Evernorth	$4,284	488%
Multiplan	$5,998	684%
Beech Street	$6,683	762%
Private Health Care Systems	$7,283	830%

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 $4,284.
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 Atrium Health Floyd Medical Center 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.