CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Fairview Park Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,590
Cash Discount Price: $7,142
vs. Medicare Baseline: 2.95x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Fairview Park Hospital is $2,590. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,142. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.95x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

$7,142

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,590

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: $7,142 (814%)

Insurance Median: $2,590 (295%)

Cash: $7,142 (814% of Medicare)

Ins. Median: $2,590 (295% 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 295% of the Medicare baseline (a markup of 195%). 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
Amerigroup	$638 - $1,276	73%
Ambetter / Centene	$695 - $1,390	79%
Friday Health	$714 - $1,428	81%
Nhc Advantage	$905 - $1,809	103%
Pruitt Health	$905 - $1,809	103%
Peach State	$952 - $1,904	109%
Wellcare	$952 - $1,904	109%
Memorial Health Plan	$1,048 - $4,284	119%
United	$1,176 - $4,284	134%
Cigna	$1,295 - $3,456	148%
Centurion	$1,319 - $2,636	150%
Americas 1St Choice	$1,333 - $2,666	152%
Leavitt Risk Partners	$1,429 - $2,856	163%
Health One Alliance	$2,191 - $4,380	250%
Dodge County Hospital	$2,381 - $4,760	271%
Blue Cross Blue Shield	$2,435 - $2,962	278%
Prime Health	$2,558	292%
Employer'S Health Network	$2,612	298%
Rockport United Network	$2,612	298%
Aetna	$2,625 - $5,249	299%
Identity Mco	$2,665	304%
Synergy Health Network	$2,665	304%
Core Resources	$2,857	326%
American Steel Products	$4,048 - $8,093	461%
City Of Eastman	$4,048 - $8,093	461%
Dodge Co Board Of Commissioners	$4,048 - $8,093	461%
Graham Brothers Construction	$4,048 - $8,093	461%
Multiplan	$4,286 - $8,569	489%
Novanet	$4,286 - $8,569	489%

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 $7,142.
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 Fairview Park 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.