CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Henrico Doctors' Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,795
Cash Discount Price: $10,700
vs. Medicare Baseline: 3.19x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Henrico Doctors' Hospital is $2,795. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,700. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.19x the Medicare baseline. Located in 1602 Skipwith Road, Richmond, VA.

Cash / Self-Pay

$10,700

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,795

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: $10,700 (1220%)

Insurance Median: $2,795 (319%)

Cash: $10,700 (1220% of Medicare)

Ins. Median: $2,795 (319% 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 319% of the Medicare baseline (a markup of 219%). 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
Cigna	$1,148 - $2,808	131%
Bright Health	$1,297 - $2,161	148%
Oscar	$1,365 - $2,273	156%
Lifeworks	$1,525 - $2,540	174%
United	$1,670 - $6,017	190%
Universal Healthcare Group	$1,766 - $2,942	201%
Blue Cross Blue Shield	$1,905 - $2,621	217%
Virginia Health Network	$2,810 - $8,691	320%
Greenvbrier Sporting Club	$4,817 - $8,023	549%
Corvel	$5,780 - $9,627	659%
Occunet Workers Comp	$6,422 - $10,697	732%
4Most Health Nework	$7,225 - $12,034	824%
Multiplan	$7,225 - $12,034	824%

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 $10,700.
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 Henrico Doctors' Hospital 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.