CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: North Oaks Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $929
Cash Discount Price: $2,023
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at North Oaks Medical Center is $929. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,023. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.06x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.

Cash / Self-Pay

$2,023

Average discount available for prompt cash payment at this facility.

Insurance Median

$929

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: $2,023 (231%)

Insurance Median: $929 (106%)

Cash: $2,023 (231% of Medicare)

Ins. Median: $929 (106% 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
Mco Lhc	$496	57%
Aetna	$506 - $5,985	58%
Humana	$506 - $5,281	58%
Mco Hb	$506	58%
Mco Lacare Am	$506	58%
Medicaid / KanCare	$506	58%
UnitedHealthcare	$506 - $3,380	58%
Tricare	$738 - $929	84%
Allwell	$929	106%
Blue Advantage	$929	106%
Champva	$929	106%
Healthy Blue Dual Advantage	$929	106%
Peoples Health	$929	106%
Vantage 65	$929	106%
Veterans Administration	$929	106%
Wellcare	$929	106%
Blue Cross Blue Shield	$1,995 - $2,023	227%
Verity Healthnet	$4,577	522%
Ppoplus Llc	$4,929	562%
Multiplan	$5,281	602%
Cigna	$5,562	634%

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 $2,023.
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 North Oaks Medical Center 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.