CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Dorminy Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,511
Cash Discount Price: $1,046
vs. Medicare Baseline: 1.72x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Dorminy Medical Center is $1,511. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,046. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.72x the Medicare baseline. Located in 200 Perry House Road, Box 1447, Fitzgerald, GA.

Cash / Self-Pay

$1,046

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,511

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: $1,046 (119%)

Insurance Median: $1,511 (172%)

Cash: $1,046 (119% of Medicare)

Ins. Median: $1,511 (172% 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.

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
Aetna	$374 - $2,006	43%
Blue Cross Blue Shield	$374 - $749	43%
Humana	$374 - $2,206	43%
UnitedHealthcare	$374 - $2,181	43%
Healthsmart	$1,259 - $1,880	144%
Provider Network Of America	$1,427 - $2,131	163%
Principal Edge Network	$1,460 - $2,181	166%
Cigna	$1,477 - $2,206	168%
Multiplan	$1,511 - $2,256	172%
Novanet	$1,511 - $2,256	172%
Phcs	$1,511 - $2,256	172%
Unicare	$1,511 - $2,256	172%
Three Rivers Provider Network	$1,595 - $2,382	182%

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 $1,046.
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 Dorminy 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.