CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Frye Regional Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $963
  • Cash Discount Price: $3,778
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Frye Regional Medical Center is $963. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,778. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.10x the Medicare baseline. Located in 420 N Center St, Hickory, NC.
Cash / Self-Pay
$3,778

Average discount available for prompt cash payment at this facility.

Insurance Median
$963

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: $3,778 (431%)
Insurance Median: $963 (110%)
Cash: $3,778 (431% of Medicare)
Ins. Median: $963 (110% 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.

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
Blue Cross Blue Shield $934 - $2,050 106%
Vaya Health $934 106%
Aetna $938 - $1,232 107%
Healthyblue Nc $945 108%
Amerihealth Caritas North Carolina $953 109%
Carolina Complete Health Inc. $953 109%
Partners Health Management $953 109%
UnitedHealthcare $953 - $2,598 109%
Humana $955 109%
Wellcare Of North Carolina, Inc $962 110%
Sherrill Furniture $2,101 239%
Amerihealth Caritas Next $2,197 250%
Cigna $2,407 274%
Ambetter / Centene $2,491 284%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 420 N Center St, Hickory, NC 28601
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals