CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Vidant Roanoke Chowan Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $3,092
Cash Discount Price: $2,797
vs. Medicare Baseline: 3.52x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Vidant Roanoke Chowan Hospital is $3,092. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,797. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.52x the Medicare baseline. Located in 500 S Academy St, Ahoskie, NC.

Cash / Self-Pay

$2,797

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,092

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: $2,797 (319%)

Insurance Median: $3,092 (352%)

Cash: $2,797 (319% of Medicare)

Ins. Median: $3,092 (352% 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 352% of the Medicare baseline (a markup of 252%). 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
Humana	$1,023	117%
Blue Cross Blue Shield	$1,023 - $2,732	117%
UnitedHealthcare	$1,044 - $2,757	119%
Aetna	$1,074 - $4,086	122%
Liberty Advantage [1313]	$1,074	122%
Carolina Complete Health [1317]	$1,240	141%
Wellcare [1320]	$1,246	142%
Amerihealth McAid Adv [1316]	$1,252	143%
Longevity Health [1411]	$1,330	152%
Nc Dept of Public Safety [1095]	$1,818	207%
Medcost [1067]	$3,092 - $3,257	352%
Cigna	$4,246 - $4,795	484%
Multiplan [1031]	$4,745	541%

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 $2,797.
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 Vidant Roanoke Chowan 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.