CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Navicent Health Baldwin

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $741
Cash Discount Price: $1,594
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Navicent Health Baldwin is $741. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,594. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.84x the Medicare baseline. Located in 821 North Cobb Street, Milledgeville, GA.

Cash / Self-Pay

$1,594

Average discount available for prompt cash payment at this facility.

Insurance Median

$741

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: $1,594 (182%)

Insurance Median: $741 (84%)

Cash: $1,594 (182% of Medicare)

Ins. Median: $741 (84% 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	$109 - $2,645	12%
Blue Cross Blue Shield	$109 - $2,390	12%
Georgia Health Advantage	$109 - $991	12%
Humana	$109 - $2,709	12%
UnitedHealthcare	$109 - $2,247	12%
Care Source	$111 - $1,011	13%
Clover	$111 - $1,011	13%
Eon Health	$111 - $1,011	13%
Pruitt Health	$115 - $991	13%
Alliant	$131 - $1,562	15%
Ambetter / Centene	$147 - $1,625	17%
Cigna	$439 - $2,454	50%
Securehealth	$518 - $1,647	59%
Multiplan	$2,072 - $2,550	236%
Novanet	$2,550	291%
Three Rivers Provider Network	$2,709	309%

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 $1,594.
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 Navicent Health Baldwin 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.