CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $357
Cash Discount Price: $2,612
vs. Medicare Baseline: 0.41x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Camc Greenbrier Valley Medical Center, Inc is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,612. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.41x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$2,612

Average discount available for prompt cash payment at this facility.

Insurance Median

$357

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: $2,612 (298%)

Insurance Median: $357 (41%)

Cash: $2,612 (298% of Medicare)

Ins. Median: $357 (41% 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
Aetna	$79 - $4,682	9%
Blue Cross Blue Shield	$79 - $4,420	9%
Caresource	$79 - $3,822	9%
Sentra Health	$79 - $1,017	9%
The Health Plan	$79 - $4,300	9%
Unicare	$79 - $332	9%
Humana	$83 - $4,300	9%
Multiplan	$83 - $4,157	9%
UnitedHealthcare	$83 - $3,822	9%
Clear Spring Health	$86 - $1,017	10%
Ally Align	$87 - $1,068	10%
Integrated Medical Solutions	$116 - $1,933	13%
Naphcare	$166 - $2,035	19%
Greenbrier Resort	$312 - $3,345	36%
Healthsmart	$357 - $3,345	41%
Fedmed	$401 - $4,300	46%

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 $2,612.
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 Camc Greenbrier Valley Medical Center, Inc 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.