CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Betsy Johnson Regional Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $851
Cash Discount Price: $2,375
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Betsy Johnson Regional Hospital is $851. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,375. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.97x the Medicare baseline. Located in 800 Tilghman Dr, Dunn, NC.

Cash / Self-Pay

$2,375

Average discount available for prompt cash payment at this facility.

Insurance Median

$851

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: $2,375 (271%)

Insurance Median: $851 (97%)

Cash: $2,375 (271% of Medicare)

Ins. Median: $851 (97% 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
Carolina Complete Health	$425	48%
Medcost	$425	48%
Troy	$425 - $868	48%
Wellcare	$425 - $851	48%
Aetna	$434 - $2,127	49%
Healthy Blue	$434	49%
Longevity	$434 - $851	49%
UnitedHealthcare	$434 - $851	49%
Humana	$468 - $851	53%
Liberty Advantage	$468 - $868	53%
Ambetter / Centene	$851 - $1,276	97%
First Carolina Care	$868	99%
New Hanover	$893	102%

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 $2,375.
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 Betsy Johnson Regional 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.