CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Cannon Memorial Hospital
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $588
- Cash Discount Price: $850
- vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Cannon Memorial Hospital is $588. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $850. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.67x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$850
Average discount available for prompt cash payment at this facility.
Insurance Median
$588
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: $850 (97%)
Insurance Median: $588 (67%)
Cash: $850 (97% of Medicare)
Ins. Median: $588 (67% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $79 - $5,600 | 9% |
| Absolute Total Care [58] | $80 - $903 | 9% |
| Humana | $82 - $4,032 | 9% |
| Select Health Of Sc [637] | $90 - $860 | 10% |
| Aetna | $107 - $3,181 | 12% |
| Blue Choice Health Plan [922] | $107 - $3,214 | 12% |
| Blue Cross Blue Shield | $107 - $5,320 | 12% |
| Medicare (plans) | $107 - $5,600 | 12% |
| UnitedHealthcare | $107 - $5,600 | 12% |
| Vaccn - Va Community Care Network [16] | $107 - $560 | 12% |
| Veterans Administration [633] | $107 - $560 | 12% |
| Devoted Health Alt Payer [9401] | $109 - $571 | 12% |
| Devoted Health [94] | $109 - $571 | 12% |
| Cigna | $110 - $5,600 | 13% |
| Molina Dual Options Alt Payer [1501] | $110 - $576 | 13% |
| Molina Dual Options [15] | $110 - $576 | 13% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $111 - $579 | 13% |
| Absolute Total Care Mcr Plans [41] | $111 - $579 | 13% |
| Champva [604] | $112 - $575 | 13% |
| First Choice Vip Careplus Alt Payer [3301] | $112 - $588 | 13% |
| First Choice Vip [33] | $112 - $588 | 13% |
| Nhc Advantage Alt Payer [6101] | $112 - $588 | 13% |
| Nhc Advantage [61] | $112 - $588 | 13% |
| Tricare | $112 - $575 | 13% |
| Bright Health Alt Payer [1001] | $126 - $618 | 14% |
| Ambetter / Centene | $153 - $800 | 17% |
| First Choice Next [96] | $155 - $811 | 18% |
| Molina Marketplace [97] | $155 - $811 | 18% |
| Bright Health [11] | $156 - $748 | 18% |
| Mail Handlers Benefit Plan [327] | $171 - $3,181 | 19% |
| Rural Carrier Benefit Plan [406] | $171 - $3,181 | 19% |
| Workers Compensation [622] | $174 - $890 | 20% |
| Geha [302] | $181 - $2,985 | 21% |
| Golden Rule Ins Co [584] | $181 - $2,985 | 21% |
| Edison Health Solutions [95] | $187 - $979 | 21% |
| Healthscope [98] | $187 - $979 | 21% |
| Nalc Health Benefit Plan [291] | $187 - $3,332 | 21% |
| Employee Benefit Management Services [869] | $191 - $1,568 | 22% |
| Medcost [206] | $210 - $5,040 | 24% |
| Preferred Administrators [19] | $239 - $3,360 | 27% |
| Planned Administrators [886] | $287 - $2,862 | 33% |
| Thomas Cooper & Company [315] | $287 - $2,862 | 33% |
| Phcs [940] | $350 - $3,696 | 40% |
| Other Hospital Payers [1991] | $1,170 - $5,600 | 133% |
| Coventry Health [245] | $3,024 - $4,032 | 345% |
| American Continental Ins [778] | $4,839 - $5,600 | 552% |
| American Republic Life Ins [722] | $4,839 - $5,600 | 552% |
| Business Office [6000] | $4,839 - $5,600 | 552% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $4,839 - $5,600 | 552% |
| First Health [946] | $4,839 - $5,600 | 552% |
| Guarantee Trust Life Insurance [236] | $4,839 - $5,600 | 552% |
| Home Health Infusion Payer [6001] | $4,839 - $5,600 | 552% |
| Manhattan Life Ins Co [932] | $4,839 - $5,600 | 552% |
| Miscellaneous Commercial [1] | $4,839 - $5,600 | 552% |
| New Era Life Ins Co [437] | $4,839 - $5,600 | 552% |
| Non-Contracted [22] | $4,839 - $5,600 | 552% |
| Physicians Mutual [773] | $4,839 - $5,600 | 552% |
| Reference Based Pricing/Limited Plan [21] | $4,839 - $5,600 | 552% |
| State Farm Ins Co [373] | $4,839 - $5,600 | 552% |
| Sterling Investors Life [244] | $4,839 - $5,600 | 552% |
| Supermed/Med Mutual Of Ohio [539] | $4,839 - $5,600 | 552% |
| United American Ins Co [277] | $4,839 - $5,600 | 552% |