CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Tift Regional Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,390
Cash Discount Price: $1,973
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Tift Regional Medical Center is $1,390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,973. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.58x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.

Cash / Self-Pay

$1,973

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,390

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: $1,973 (225%)

Insurance Median: $1,390 (158%)

Cash: $1,973 (225% of Medicare)

Ins. Median: $1,390 (158% 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
Tricare	$538 - $942	61%
Va Contract	$707	81%
Peach State Health Plan	$720	82%
Wellcare	$774 - $946	88%
Health One Alliance	$795 - $1,367	91%
Caresource Marketplace Exchange	$823 - $1,414	94%
Amerigroup	$887	101%
Medicaid / KanCare	$887	101%
Hospice	$927	106%
Medicare (plans)	$927	106%
Peachstate	$931	106%
Zelis Network Solutions	$933 - $1,885	106%
Blue Cross Blue Shield	$942 - $3,945	107%
UnitedHealthcare	$942 - $3,334	107%
Aetna	$946 - $3,408	108%
Clover Health	$946	108%
Caresource	$975	111%
Humana	$990 - $1,972	113%
Pruitt Health Premier	$1,020	116%
Self Pay 50	$1,972	225%
Ga Workers Comp	$2,665	304%
Misc Commercial Insurance Plans	$3,550	405%
Self Pay	$3,550	405%
Cigna	$3,602	411%
Misc Non Contracted Commercial Plans	$3,945	450%

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 $1,973.
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 Tift Regional 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.