CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Tennova Healthcare-Jefferson Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $805
  • Cash Discount Price: $3,136
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Tennova Healthcare-Jefferson Memorial Hospital is $805. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,136. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.92x the Medicare baseline. Located in 110 Hospital Drive, Jefferson City, TN.
Cash / Self-Pay
$3,136

Average discount available for prompt cash payment at this facility.

Insurance Median
$805

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: $3,136 (357%)
Insurance Median: $805 (92%)
Cash: $3,136 (357% of Medicare)
Ins. Median: $805 (92% 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
Bluecare $156 - $170 18%
Medicaid / KanCare $346 39%
UnitedHealthcare $346 - $14,169 39%
Veterans Eval Services $443 50%
Amerigroup $659 75%
Tricare $740 84%
Humana $767 87%
Medicare (plans) $767 87%
Node Bluecare Plus Tn Mcr Adv $779 89%
Node Champva $779 89%
Node Hospice Non Par Agree $779 89%
Node Va $779 89%
Node Devoted Health Mcr Adv $782 89%
Node Farm Bureau Mcr Adv $782 89%
Aetna $790 - $9,097 90%
Blue Cross Blue Shield $790 - $2,876 90%
Node Healthspring Mcr Adv $790 90%
Node Amerigroup Mcr Adv $805 92%
Node Wellcare Mcr Adv $810 92%
Node Nhc Mcr Adv $843 96%
Node Us Dept Of Labor $974 111%
Three Rivers Work Comp Tn $1,221 139%
Ambetter / Centene $1,441 164%
Novanet Work Comp Tn $1,511 172%
Occunet Work Comp Tn $1,526 174%
Tn Work Comp $1,526 174%
Point Comfort Underwriters $1,687 192%
Cigna $1,807 206%
Self Pay $3,136 357%
Multiplan Complementary $11,194 1276%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Hospital Drive, Jefferson City, TN 37760
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals