CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Tristar Stonecrest Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,176
Cash Discount Price: $8,057
vs. Medicare Baseline: 2.48x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Tristar Stonecrest Medical Center is $2,176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,057. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.48x the Medicare baseline. Located in 200 Stonecrest Boulevard, Smyrna, TN.

Cash / Self-Pay

$8,057

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,176

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: $8,057 (918%)

Insurance Median: $2,176 (248%)

Cash: $8,057 (918% of Medicare)

Ins. Median: $2,176 (248% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 248% of the Medicare baseline (a markup of 148%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$219 - $2,470	25%
Bright Health	$913 - $2,578	104%
Oscar	$983 - $1,966	112%
Kentucky Labor Cabinet	$989 - $1,977	113%
Apex Health	$1,021 - $2,041	116%
Nhc Advantage, Inc.	$1,021 - $2,041	116%
Pruitt Health (Allyalign)	$1,021 - $2,041	116%
Ambetter / Centene	$1,198 - $2,492	137%
United	$1,268 - $4,833	145%
Humana	$1,343 - $2,685	153%
Cigna	$1,354 - $3,501	154%
Aetna	$2,311 - $5,370	263%
Bgfh Singlesource	$2,686 - $9,130	306%
Employers Health Network	$3,761 - $7,518	429%
Odom'S Tn Pride Sausage	$4,029 - $8,055	459%
Multiplan	$4,835 - $9,667	551%
Beech Street	$4,943 - $9,881	563%

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 $8,057.
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 Tristar Stonecrest 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.