CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Carilion Stonewall Jackson Hospital

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$774

about 0.9× the $877 Medicare rate · typically $356–$1,756

modeled estimate · not a bill or quote

What this hospital charges insurers

$802

About the fair price

about $28 over the fair price · 0.9× Medicare

Medicare pays $877 Fair price $774 This hospital $802 Cash price $1,532 Hospital's list price $4,376

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

One of the lower prices — 5 of 8 other VA hospitals charge more for the same procedure.

Cheapest $794 Priciest $884

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

A fair price for a Sleep study (overnight, in lab) is about $774 (about 0.9× the $877 Medicare rate). Carilion Stonewall Jackson Hospital charges insurers about $802, or about $1,532 in cash — about the fair price. Located in Lexington, VA.

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	$587 - $3,577	67%
Blue Cross Blue Shieldmajor	$560 - $4,008	64%
Aetnamajor	$587 - $2,906	67%
Cignamajor	$3,505	400%
Humanamajor	$587 - $906	67%
Sentara	$571 - $2,713	65%
+ 9 smaller / regional plans	$2,407 - $4,157

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 1,532), 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 Carilion Stonewall Jackson Hospital 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 Carilion Stonewall Jackson Hospital

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

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