CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Tristar Skyline Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,972
Cash Discount Price: $12,031
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Tristar Skyline Medical Center is $2,972. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,031. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.39x the Medicare baseline. Located in 3441 Dickerson Pike, Nashville, TN.

Cash / Self-Pay

$12,031

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,972

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: $12,031 (1371%)

Insurance Median: $2,972 (339%)

Cash: $12,031 (1371% of Medicare)

Ins. Median: $2,972 (339% 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 339% of the Medicare baseline (a markup of 239%). 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	$227 - $2,767	26%
United	$1,268 - $5,414	145%
Bright Health	$2,045 - $2,887	233%
Oscar	$2,202	251%
Kentucky Labor Cabinet	$2,215	252%
Nhc Advantage, Inc.	$2,286	261%
Pruitt Health (Allyalign)	$2,286	261%
Aetna	$2,311 - $6,015	263%
Ambetter / Centene	$2,683 - $2,791	306%
Humana	$3,008 - $7,820	343%
Cigna	$3,032 - $3,922	346%
Centurion	$4,957	565%
Bgfh Singlesource	$6,015 - $10,226	686%
Employers Health Network	$8,422	960%
Mhnet	$9,023	1028%
Odom'S Tn Pride Sausage	$9,023	1028%
Multiplan	$9,865	1124%
Beech Street	$10,587	1207%
Prime Health	$10,587	1207%
Triwest Healthcare	$11,790	1344%

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 $12,031.
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 Tristar Skyline Medical Center 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.