CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Stanly Regional Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,623
  • Cash Discount Price: $3,183
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Stanly Regional Medical Center is $1,623. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,183. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.85x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$3,183

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,623

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: $3,183 (363%)
Insurance Median: $1,623 (185%)
Cash: $3,183 (363% of Medicare)
Ins. Median: $1,623 (185% 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
Cigna $109 - $5,093 12%
Humana $111 - $987 13%
Aetna $113 - $5,729 13%
UnitedHealthcare $113 - $4,310 13%
Trillium $138 - $794 16%
Amerihealth Caritas $139 - $779 16%
Carolina Complete Health $139 - $771 16%
Healthy Blue $139 - $771 16%
Partners $139 - $764 16%
Vaya $139 - $779 16%
Wellcare $139 - $771 16%
Alliance $140 - $786 16%
Ambetter / Centene $207 - $2,368 24%
Medcost $311 - $6,111 35%
Choicecare $389 - $5,984 44%
Blue Cross Blue Shield $485 - $3,280 55%
Employers Health Network $2,814 - $3,679 321%
Physician Reach Out $3,183 363%
Magellan $3,819 435%
Gmmi $4,138 472%
Quik Trip $4,138 472%
Carolina Behavioral Health $4,583 - $5,093 522%
First Health $5,729 653%
Healthgram $5,729 653%
Lifesynch Community Choice Care $5,984 682%
Multiplan $5,984 682%
Private Health Care Systems $5,984 682%
Beechstreet $6,111 697%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals