CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Ochsner Choctaw General

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,439
Cash Discount Price: $1,524
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Ochsner Choctaw General is $1,439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,524. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.64x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$1,524

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,439

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: $1,524 (174%)

Insurance Median: $1,439 (164%)

Cash: $1,524 (174% of Medicare)

Ins. Median: $1,439 (164% 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
Select Administrative Services Network	$357 - $2,450	41%
Humana	$434 - $1,575	49%
Cigna	$537 - $1,925	61%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$537 - $1,575	61%
Medicaid / KanCare	$537 - $813	61%
Medicare (plans)	$537 - $1,811	61%
UnitedHealthcare	$537 - $2,739	61%
Blue Cross Blue Shield	$548 - $2,346	62%
Shared Health Mississippi	$564 - $1,654	64%
Prime Health Services Ppo	$618 - $2,800	70%
Primewell Health Services Commercial Exchange Plan	$859 - $2,345	98%
Primewell Health Services – Commercial	$859 - $2,345	98%
Aetna	$885 - $2,275	101%
Claritev D/B/A Multiplan/Phcs/American Life Care	$1,307 - $2,625	149%
Prime Health Services Ppo -Workers Comp	$1,431 - $2,793	163%
Cor Vel	$1,446 - $2,852	165%
Zelis	$1,514 - $2,625	173%
Ambetter / Centene	$1,591	181%

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 $1,524.
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 Ochsner Choctaw General 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.