CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Terrebonne General Medical Center - Parish

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $816
Cash Discount Price: $1,896
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Terrebonne General Medical Center - Parish is $816. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,896. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 0.93x the Medicare baseline. Located in 8166 Main Street, Houma, LA.

Cash / Self-Pay

$1,896

Average discount available for prompt cash payment at this facility.

Insurance Median

$816

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: $1,896 (216%)

Insurance Median: $816 (93%)

Cash: $1,896 (216% of Medicare)

Ins. Median: $816 (93% 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
Champ Va	$438	50%
Medicaid / KanCare	$459	52%
UnitedHealthcare	$459 - $778	52%
Amerihealth	$468	53%
Aetna	$472 - $1,000	54%
Humana	$481 - $2,339	55%
Blue Cross Blue Shield	$765 - $2,263	87%
Dept Of Veterans Affairs	$765	87%
Medicare (plans)	$765	87%
Tricare	$778	89%
Amg	$816	93%
Ppoplus	$995	113%
Verity Health	$1,460	166%
Multiplan Inc	$1,665	190%
Cigna	$1,719	196%
Vantage Health Plan	$1,944	222%
Coventry Health Of Louisiana	$2,049	234%
Workers Comp	$2,562	292%
Gilsbar 360	$2,621 - $2,636	299%

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 $1,896.
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 Terrebonne General Medical Center - Parish 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.