Summary

6 facilities within 25 miles of Durham publish prices for Sleep Study. Cash prices range from $1,010 to $2,520 — a 2.5x difference for an identical procedure. The North Carolina average is $3,083.

$1,010 lowest
$2,520 highest
Best Value

Duke Regional Hospital

Durham, VA · Duke Health · 0.0 mi

$1,010 Cash price
4/5 CMS rating
71.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 71%. Cash price of $1,010 is below the statewide average of $3,083.

All facilities ranked by price

1
Duke Regional Hospital 4★ · 0.0 mi · Local government
$1,010
2
Wakemed, Raleigh Campus 4★ · 20.8 mi · Nonprofit
$1,170
3
Duke University Hospital 5★ · 0.0 mi · For-profit
$1,246
4
Unc Hospitals 5★ · 10.4 mi · State government
$2,503
5
Rex Hospital 5★ · 20.8 mi · State government
$2,520
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Duke Regional Hospital Duke Health Durham, NC · 0.0 mi $1,010 $2,019 2.0x 4/5 71.0% Local government
2 Wakemed, Raleigh Campus WakeMed Raleigh, NC · 20.8 mi $1,170 $3,080 2.63x 4/5 71.0% Nonprofit
3 Duke University Hospital Duke Health Durham, NC · 0.0 mi $1,246 $4,613 3.7x 5/5 80.0% For-profit
4 Unc Hospitals UNC Health Chapel Hill, NC · 10.4 mi $2,503 $4,171 1.67x 5/5 78.0% State government
5 Rex Hospital UNC Health Raleigh, NC · 20.8 mi $2,520 $4,200 1.67x 5/5 80.0% State government
6 Duke Health Raleigh Hospital Duke Health Raleigh, NC · 19.2 mi $4,410

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Sleep Study. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Duke Regional Hospital

Cash: $1,010
Insurance Plan Negotiated Rate vs Cash
Aetna Medicare Advantage HMO $548 -$461
Aetna Medicare Advantage PPO $579 -$431
AmeriHealth Managed Medicaid $598 -$411
Blue Cross Blue Shield Managed Medicaid $598 -$411
Carolina Complete Health Managed Medicaid $598 -$411
Alliance Health Managed Medicaid $598 -$411
Partners Managed Medicaid $598 -$411
Trillium Managed Medicaid $598 -$411
UnitedHealthcare Managed Medicaid $628 -$381
Humana Medicare Advantage $631 -$378
Blue Cross Blue Shield Medicare Advantage/Medicare Advantage HMO/Medicare Advantage PPO $631 -$378
Piedmont Health Medicare Advantage $631 -$378
Troy Health Medicare Advantage $631 -$378
VOANS Medicare Advantage $631 -$378
Cigna Medicare Advantage $644 -$365

8 additional plans not shown.

Wakemed, Raleigh Campus

Cash: $1,170
Insurance Plan Negotiated Rate vs Cash
AmeriHealth Managed Medicaid $553 -$618
Carolina Complete Managed Medicaid $553 -$618
Wellcare Managed Medicaid $553 -$618
Ambetter Exchange $841 -$329
Cigna Exchange $906 -$265
Aetna Medicare Advantage $984 -$187
Blue Cross Blue Shield Medicare Advantage $984 -$187
Wellcare Medicare Advantage $984 -$187
Liberty Medicare Advantage $1,003 -$167
Pruitt Medicare Advantage $1,003 -$167
Alignment Medicare Advantage $1,033 -$138
Aetna Narrow Network $1,386 +$216
First Health Coventry Carelink $1,417 +$246
Blue Cross Blue Shield Commercial $1,534 +$364
Aetna Preferred $1,540 +$370

6 additional plans not shown.

Duke University Hospital

Cash: $1,246
Insurance Plan Negotiated Rate vs Cash
Piedmont Health Medicare Advantage $631 -$614
UnitedHealthcare HMO $776 -$469
Aetna Medicare Advantage HMO $946 -$300
Blue Cross Blue Shield Medicare Advantage/Medicare Advantage HMO/Medicare Advantage PPO $979 -$267
UnitedHealthcare Medicare Advantage $979 -$267
Aetna Medicare Advantage PPO $983 -$262
Humana Medicare Advantage $988 -$258
Troy Health Medicare Advantage $991 -$255
VOANS Medicare Advantage $991 -$255
Cigna Medicare Advantage $1,011 -$235
Liberty Medicare Advantage $1,011 -$235
Alliance Health Managed Medicaid $1,043 -$203
AmeriHealth Managed Medicaid $1,043 -$203
Blue Cross Blue Shield Managed Medicaid $1,043 -$203
Carolina Complete Health Managed Medicaid $1,043 -$203

14 additional plans not shown.

Unc Hospitals

Cash: $2,503
Insurance Plan Negotiated Rate vs Cash
Aetna MEDICARE ADVANTAGE $992 -$1,510
ALIGNMENT MEDICARE ADVANTAGE $992 -$1,510
ALIGNMENT PREFERRED PLUS HMO $992 -$1,510
Blue Cross Blue Shield MEDICARE ADVANTAGE $992 -$1,510
Cigna MEDICARE ADVANTAGE $992 -$1,510
Medicare MEDICARE ADVANTAGE $992 -$1,510
HEALTH TEAM ADVANTAGE MEDICARE ADVANTAGE $992 -$1,510
Humana MEDICARE ADVANTAGE GOLD PLUS $992 -$1,510
Humana MEDICARE ADVANTAGE STATE HEALTH PLAN $992 -$1,510
LIBERTY MEDICARE ADVANTAGE $992 -$1,510
TRICARE HMO $992 -$1,510
UnitedHealthcare MEDICARE ADVANTAGE $992 -$1,510
WELLCARE MEDICARE ADVANTAGE $992 -$1,510
CAROLINA COMPLETE HEALTH MANAGED MEDICAID $1,285 -$1,218

19 additional plans not shown.

Rex Hospital

Cash: $2,520
Insurance Plan Negotiated Rate vs Cash
ALLIANCE MANAGED MEDICAID $934 -$1,586
CAROLINA COMPLETE HEALTH MANAGED MEDICAID $934 -$1,586
HEALTHY BLUE NORTH CAROLINA MANAGED MEDICAID $934 -$1,586
UnitedHealthcare MANAGED MEDICAID $934 -$1,586
WELLCARE MANAGED MEDICAID $934 -$1,586
TRILLIUM MANAGED MEDICAID $943 -$1,577
PARTNERS MANAGED MEDICAID $962 -$1,558
VAYA HEALTH MANAGED MEDICAID $962 -$1,558
Aetna MEDICARE ADVANTAGE $984 -$1,536
ALIGNMENT MEDICARE ADVANTAGE $984 -$1,536
ALIGNMENT SMART HMO $984 -$1,536
Blue Cross Blue Shield MEDICARE ADVANTAGE $984 -$1,536
Cigna MEDICARE ADVANTAGE $984 -$1,536
Medicare MEDICARE ADVANTAGE $984 -$1,536

13 additional plans not shown.

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Sleep Study (CPT 95810). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Duke Regional Hospital Local government N/A (for-profit)
Wakemed, Raleigh Campus Nonprofit Call billing, request Financial Assistance application
Duke University Hospital For-profit N/A (for-profit)
Unc Hospitals State government N/A (for-profit)
Rex Hospital State government N/A (for-profit)
Duke Health Raleigh Hospital N/A (for-profit)

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.