CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Erlanger Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$731

about 0.8× the $877 Medicare rate · typically $558–$1,129

modeled estimate · not a bill or quote

What this hospital charges insurers

$761

About the fair price

about $30 over the fair price · 0.9× Medicare

Medicare pays $877 Fair price $731 This hospital $761 Cash price $3,524 Hospital's list price $6,675

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 TN hospitals compared.

Cheapest $299 Priciest $818

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $731 (about 0.8× the $877 Medicare rate). Erlanger Medical Center charges insurers about $761, or about $3,524 in cash — about the fair price. Located in Chattanooga, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$101 - $2,219	12%
Blue Cross Blue Shieldmajor	$602 - $5,788	69%
Aetnamajor	$146 - $3,545	17%
Cignamajor	$130 - $3,632	15%
Humanamajor	$159 - $4,341	18%
Ambetter (Centene)	$1,042 - $1,167	119%
Amerigroup	$116 - $1,604	13%
CareSource	$174 - $2,198	20%
Clover Health	$834 - $933	95%
Devoted Health	$144 - $971	16%
UPMC Health Plan	$834 - $933	95%
+ 11 smaller / regional plans	$173 - $5,426

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,524), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Erlanger Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Erlanger Medical Center

Compare: Sleep study (overnight, in lab) at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.