CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Novant Health Medical Park Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,006
Cash Discount Price: $2,840
vs. Medicare Baseline: 3.43x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Novant Health Medical Park Hospital is $3,006. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,840. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.43x the Medicare baseline. Located in 1950 S Hawthorne Rd, Winston-Salem, NC.

Cash / Self-Pay

$2,840

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,006

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: $2,840 (324%)

Insurance Median: $3,006 (343%)

Cash: $2,840 (324% of Medicare)

Ins. Median: $3,006 (343% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 343% of the Medicare baseline (a markup of 243%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$833 - $3,408	95%
Humana	$833 - $3,688	95%
Pace Of The Southern Piedmont	$833	95%
UnitedHealthcare	$833 - $3,186	95%
Aetna	$854 - $3,787	97%
Cigna	$858 - $2,812	98%
Liberty Health	$874	100%
Carolina Complete	$1,122	128%
Nc Department Of Public Safety	$1,122 - $1,666	128%
Amerihealth	$1,145	131%
Wellcare	$1,145	131%
Caresource North Carolina	$1,894	216%
Atlantic Corporation Dba Atlantic Packaging	$2,675	305%
Plotkin Health	$2,840	324%
Amps	$3,077	351%
Medcost	$4,024 - $4,450	459%
Primary Physician Care	$4,166	475%
Beechstreet	$4,261	486%
Multiplan	$4,261	486%
Phcs	$4,261	486%
Employers Choice Network	$4,592	523%
Three Rivers Provider Network	$4,592	523%

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 $2,840.
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 Novant Health Medical Park 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.