CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Ochsner LSU Health Monroe

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $925
Cash Discount Price: $794
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Ochsner LSU Health Monroe is $925. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $794. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$794

Average discount available for prompt cash payment at this facility.

Insurance Median

$925

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: $794 (91%)

Insurance Median: $925 (105%)

Cash: $794 (91% of Medicare)

Ins. Median: $925 (105% 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
UnitedHealthcare	$483 - $925	55%
Aetna	$552 - $1,440	63%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$552 - $761	63%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$552 - $761	63%
Humana	$552 - $925	63%
Louisiana Healthcare Connections (Healthy Louisiana)	$552 - $761	63%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$925	105%
Blue Cross Blue Shield	$925 - $2,207	105%
Medicare (plans)	$925	105%
Vantage Health Plan - Commercial	$1,017	116%
Verity Health Network – Lsu First Choice	$1,449 - $1,999	165%
Cigna	$1,477 - $2,037	168%
Zelis	$1,628	186%
First Health Network	$1,872	213%
Healthcomp Ppo (Formerly Gilsbar 360	$2,312	264%
Multiplan/Phcs/American Lifecare	$2,415 - $3,331	275%
Usa Managed Care Network	$2,588 - $3,569	295%

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 $794.
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 LSU Health Monroe 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.