CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Blount Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,498
Cash Discount Price: $2,002
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Blount Memorial Hospital is $1,498. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,002. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.71x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$2,002

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,498

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: $2,002 (228%)

Insurance Median: $1,498 (171%)

Cash: $2,002 (228% of Medicare)

Ins. Median: $1,498 (171% 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
Medicaid / KanCare	$208 - $995	24%
UnitedHealthcare	$359 - $995	41%
Golden Rule Insurance Company [2991]	$468	53%
Oxford Health Plans [2992]	$468	53%
Blue Cross Blue Shield	$807 - $1,891	92%
Humana	$807	92%
Medicare (plans)	$807 - $840	92%
Cigna	$840 - $3,552	96%
Tricare	$947	108%
Mvp Health Care [3037]	$1,094	125%
Ambetter / Centene	$1,264	144%
Prisma Health Seniorcare Pace - Midlands [5400]	$1,498	171%
Prisma Health Seniorcare Pace-Upstate [5200]	$1,498	171%
Bob Jones Univ-Pai [821]	$1,624	185%
Consociate Health Contracted [4835]	$1,794	204%
Fairos/Occunet Contracted [4837]	$1,875	214%
Promise Health Plan Contracted [2401]	$2,261 - $3,875	258%
Orangeburg Senior Helping Center Pace [5401]	$2,584	295%
Preferred Administrators Contracted [2839]	$4,521	515%
Medcost [2940]	$4,780 - $5,361	545%
Atlantic Packaging Contracted [4833]	$4,844	552%
Aps Healthcare System [2981]	$5,167	589%
Multiplan/Phcs Contracted [2950]	$5,749	655%
Aetna	$5,813	663%
Meritain Health Contracted [2200]	$5,813	663%
Nippon [2300]	$5,813	663%
Vsp Vision Care [2986]	$5,813	663%
First Health Contracted [2952]	$6,007	685%
Furman Int/Allen University Student [2951]	$6,007	685%
Quiktrip-First Health [3067]	$6,007	685%

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 $2,002.
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 Blount Memorial 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.