CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Parkridge Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,418
Cash Discount Price: $5,536
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Parkridge Medical Center is $1,418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,536. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.62x the Medicare baseline. Located in 2333 McCallie Ave, Chattanooga, TN.

Cash / Self-Pay

$5,536

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,418

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: $5,536 (631%)

Insurance Median: $1,418 (162%)

Cash: $5,536 (631% of Medicare)

Ins. Median: $1,418 (162% 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
Blue Cross Blue Shield	$211 - $2,950	24%
Ambetter / Centene	$227 - $1,522	26%
Amerigroup	$237 - $1,446	27%
Bright Health	$265 - $2,284	30%
Kentucky Labor Cabinet	$287 - $1,752	33%
Apex Health	$296 - $1,808	34%
Nhc Advantage, Inc.	$296 - $1,808	34%
Pruitt Health (Allyalign)	$296 - $1,808	34%
Peach State	$311 - $1,903	35%
Wellcare	$311 - $1,903	35%
Humana	$389 - $6,185	44%
Cigna	$392 - $7,612	45%
United	$534 - $4,282	61%
Health One Alliance	$716 - $6,470	82%
Aetna	$778 - $4,758	89%
Value Option	$778 - $4,758	89%
Magellan Behavioral Health	$934 - $5,709	106%
Multiplan	$934 - $5,709	106%
North Ga Health Services	$1,012 - $6,185	115%
Employers Health Network	$1,090 - $6,661	124%
Olympus Managed Healthcare	$1,090 - $6,661	124%
Mhnet	$1,168 - $7,136	133%
Compsych	$1,245 - $7,612	142%
Beech Street	$1,370 - $8,373	156%
Prime Health	$1,370 - $8,373	156%

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 $5,536.
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 Parkridge Medical Center 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.