CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Wellmont Bristol Regional Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $904
  • Cash Discount Price: $549
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Wellmont Bristol Regional Medical Center is $904. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $549. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.03x the Medicare baseline. Located in One Medical Park Blvd, Bristol, TN.
Cash / Self-Pay
$549

Average discount available for prompt cash payment at this facility.

Insurance Median
$904

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: $549 (63%)
Insurance Median: $904 (103%)
Cash: $549 (63% of Medicare)
Ins. Median: $904 (103% 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.

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 $181 - $2,539 21%
UnitedHealthcare $477 - $1,193 54%
Aetna $815 - $1,562 93%
Humana $815 93%
Managed Medicaire $815 93%
Medicare (plans) $815 93%
Sentara Health $815 - $944 93%
United Mine Workers Of America $815 93%
Amerigroup $847 97%
Cigna $855 - $1,698 97%
Devoted Health Plan $855 97%
Molina Healthcare $855 - $1,009 97%
Mountain Empire Pace $855 97%
Nhc Advantage $855 97%
Wellcare $864 - $3,659 98%
Optima Health $990 113%
Medcost $1,741 198%
Ambetter / Centene $1,776 202%
Seven Corners, Inc. $1,955 223%
First Health Coventry $2,817 321%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Medical Park Blvd, Bristol, TN 37620
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals