CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Sampson Regional Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $903
Cash Discount Price: $2,167
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Sampson Regional Medical Center is $903. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,167. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.03x the Medicare baseline. Located in 607 Beaman St, Clinton, NC.

Cash / Self-Pay

$2,167

Average discount available for prompt cash payment at this facility.

Insurance Median

$903

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: $2,167 (247%)

Insurance Median: $903 (103%)

Cash: $2,167 (247% of Medicare)

Ins. Median: $903 (103% 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
Healthy Blue Mcaid - All Plans	$615	70%
Wellcare Mcaid - All Plans	$615	70%
UnitedHealthcare	$621 - $2,245	71%
Blue Cross Blue Shield	$821 - $1,923	94%
Liberty Adv - All Plans	$837	95%
Aetna	$854 - $2,786	97%
Gateway Mcr Adv - All Plans	$854	97%
Medicare (plans)	$903	103%
Prime/Travelers/Three Rivers - All Plans	$903	103%
Medcost - All Plans	$2,390	272%
Cigna	$2,786	318%
Multiplan - All Plans	$2,848	325%
Bc Nc Indemnity Ip/Op Only	$3,096	353%

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 $2,167.
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 Sampson 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.