CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Lake Charles Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,144
Cash Discount Price: $2,149
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Lake Charles Memorial Hospital is $1,144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,149. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.30x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.

Cash / Self-Pay

$2,149

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,144

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: $2,149 (245%)

Insurance Median: $1,144 (130%)

Cash: $2,149 (245% of Medicare)

Ins. Median: $1,144 (130% 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
Aetna	$385 - $3,007	44%
Medicaid / KanCare	$385 - $811	44%
Blue Cross Blue Shield	$849	97%
Champus_Va	$849	97%
Cigna	$849 - $3,528	97%
Medicare (plans)	$849	97%
Tricare	$849	97%
Veterans_Administration	$849	97%
Veterans_Choice-Triwest	$849	97%
Humana	$866 - $2,973	99%
Meritain	$1,107 - $2,117	126%
Verity	$1,181 - $2,258	135%
Ppo_Plus_	$1,476 - $2,823	168%
Coushatta_Tribe_Dept_Of_Health	$1,529	174%
United_Healthcare	$1,599	182%
Phcs	$1,722 - $3,293	196%
United_Healthcare_Behavorial_Health	$1,722 - $3,293	196%
Blue_Cross_Blue_Shield_La	$1,841	210%
Lwcc	$1,882 - $3,599	215%
Vantage_Commercial	$1,954	223%
First_Health	$1,968 - $3,764	224%
Workers_Compensation	$2,214 - $4,234	252%

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 $2,149.
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 Lake Charles Memorial Hospital 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.