CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: University Health System, Inc

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $985
Cash Discount Price: $2,020
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at University Health System, Inc is $985. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,020. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.12x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.

Cash / Self-Pay

$2,020

Average discount available for prompt cash payment at this facility.

Insurance Median

$985

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: $2,020 (230%)

Insurance Median: $985 (112%)

Cash: $2,020 (230% of Medicare)

Ins. Median: $985 (112% 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
Aetna	$110 - $5,656	13%
Blue Cross Blue Shield	$111 - $5,171	13%
Choicecare	$111 - $213	13%
Cigna	$111 - $6,132	13%
Humana	$111 - $929	13%
Nhc	$111 - $985	13%
UnitedHealthcare	$111 - $5,656	13%
American Health	$113 - $985	13%
Signature	$114	13%
Wellpoint	$114 - $985	13%
Nx Health 2	$173	20%
Bluecare	$176 - $199	20%
Multiplan	$181 - $4,848	21%
Initial Group	$187	21%
Coventry	$188 - $5,656	21%
First Health	$196	22%
Tenncare	$199	23%
Novanet	$202	23%
Beechstreet	$301 - $6,060	34%
Devoted Health	$966	110%
Wellcare-Windsor Medadv	$975	111%
Medicare (plans)	$985 - $994	112%
Fentress County Sheriffs Dept	$3,232	368%
Nx Health	$4,848	553%
Phcs	$4,848	553%
Naphcare	$5,252	599%
Prime Health	$6,060 - $8,080	691%
Seven Corners	$6,060	691%
Usa	$6,464	737%
Evolutions	$7,272	829%
Galaxy	$7,272	829%
Healthsmart	$7,272	829%

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 $2,020.
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 University Health System, Inc 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.