CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Grady Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,012
Cash Discount Price: $7,176
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Grady Memorial Hospital is $1,012. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,176. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.15x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$7,176

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,012

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: $7,176 (818%)

Insurance Median: $1,012 (115%)

Cash: $7,176 (818% of Medicare)

Ins. Median: $1,012 (115% 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	$112 - $3,193	13%
Ambetter / Centene	$112 - $1,062	13%
Blue Cross Blue Shield	$112 - $5,741	13%
Cigna	$112 - $4,245	13%
Humana	$112 - $1,012	13%
Kaiser	$112 - $5,439	13%
Medicare (plans)	$112 - $1,012	13%
UnitedHealthcare	$112 - $5,167	13%
Vaccn	$112 - $1,012	13%
Wellcare	$112 - $1,012	13%
Clear Spring Health	$118 - $1,063	13%
Clover	$118 - $1,063	13%
Usp Naphcare	$124 - $4,306	14%
Oscar Health	$159 - $4,664	18%
Amerigroup	$174 - $1,167	20%
Caresource	$174 - $1,620	20%
Peach State	$174 - $1,071	20%
Multiplan	$5,526	630%

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 $7,176.
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 Grady Memorial Hospital 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.