CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Wakemed, Cary Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,180
Cash Discount Price: $1,170
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Wakemed, Cary Hospital is $1,180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,170. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.34x the Medicare baseline. Located in 1900 Kildare Farm Road, Cary, NC.

Cash / Self-Pay

$1,170

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,180

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: $1,170 (133%)

Insurance Median: $1,180 (134%)

Cash: $1,170 (133% of Medicare)

Ins. Median: $1,180 (134% 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
Blue Cross Blue Shield	$428 - $1,534	49%
Amerihealth	$457	52%
Carolina Complete	$457	52%
Healthy Blue	$457	52%
Wellcare	$457	52%
Ambetter / Centene	$841 - $1,168	96%
Cigna	$906 - $1,571	103%
Aetna	$984 - $2,094	112%
Cary - Alignment	$1,033	118%
Cary - Liberty	$1,180	134%
Cary - Pruitt	$1,180	134%
Cary - Wellcare	$1,180	134%
First Health	$1,417 - $2,710	162%
Medcost	$2,218 - $2,310	253%
Phcs	$2,464	281%
Multiplan	$2,772	316%

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 $1,170.
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 Wakemed, Cary 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.