CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Ochsner St Mary

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,952
Cash Discount Price: $3,772
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Ochsner St Mary is $1,952. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,772. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.22x the Medicare baseline. Located in 1125 Marguerite Street, Morgan City, LA.

Cash / Self-Pay

$3,772

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,952

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: $3,772 (430%)

Insurance Median: $1,952 (222%)

Cash: $3,772 (430% of Medicare)

Ins. Median: $1,952 (222% 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 222% of the Medicare baseline (a markup of 122%). 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
UnitedHealthcare	$308 - $2,388	35%
Tricare	$392 - $991	45%
Aetna	$926 - $16,083	106%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$926	106%
Blue Cross Blue Shield	$926 - $2,129	106%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$926	106%
Humana	$926 - $2,388	106%
Medicare (plans)	$926	106%
Ochsner Health Plan	$926	106%
Zelis	$1,394	159%
Healthy Blue (Healthy Louisiana)	$2,388	272%
Louisiana Healthcare Connections (Healthy Louisiana)	$2,388	272%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$2,459	280%
Verity Commercial And First Choice Network	$10,184	1161%
Claritev D/B/A Multiplan/Phcs/American Life Care	$10,938	1247%
First Health Network	$12,636	1440%
Healthcomp & Personify Health (Formerly Gilsbar)	$13,201	1505%
Cigna	$14,295	1629%

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 $3,772.
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 St Mary 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.