CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $858
  • Cash Discount Price: $3,330
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Tennova Healthcare - Newport Medical Center is $858. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,330. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$3,330

Average discount available for prompt cash payment at this facility.

Insurance Median
$858

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: $3,330 (380%)
Insurance Median: $858 (98%)
Cash: $3,330 (380% of Medicare)
Ins. Median: $858 (98% 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 $170 - $175 19%
Medicaid / KanCare $346 39%
UnitedHealthcare $346 - $14,169 39%
Veterans Eval Services $443 50%
Amerigroup $655 - $862 75%
Tricare $740 84%
Node Champva $779 89%
Humana $821 94%
Medicare (plans) $821 94%
Node Bluecare Plus Tn Mcr Adv $834 95%
Node Hospice Non Par Agree $834 95%
Node Va $834 95%
Node Devoted Health Mcr Adv $838 96%
Node Farm Bureau Mcr Adv $838 96%
Aetna $846 - $8,813 96%
Blue Cross Blue Shield $846 - $2,664 96%
Node Healthspring Mcr Adv $846 96%
Node Wellcare Mcr Adv $854 97%
Windsor Health Plan $862 98%
Node Nhc Mcr Adv $903 103%
Us Department Of Labor $1,043 119%
Novanet Work Comp Tn $1,511 172%
Tn Work Comp $1,526 174%
Ambetter / Centene $1,544 176%
Point Comfort Underwriters $1,806 206%
Cigna $2,820 321%
Self Pay $3,330 380%
Multiplan $11,052 1260%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals