CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Northern Louisiana Medical Center

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $9,494
  • Cash Discount Price: $5,222
  • vs. Medicare Baseline: 10.82x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Northern Louisiana Medical Center is $9,494. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,222. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 10.82x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$5,222

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,494

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: $5,222 (595%)
Insurance Median: $9,494 (1082%)
Cash: $5,222 (595% of Medicare)
Ins. Median: $9,494 (1082% 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 1082% of the Medicare baseline (a markup of 982%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $710 - $5,706 81%
Aetna $1,000 - $5,696 114%
Blue Cross Blue Shield $1,358 - $1,830 155%
Medicaid / KanCare $1,358 - $9,494 155%
Humana $1,493 170%
First Health $1,600 - $8,070 182%
Golden Rule Ins $3,551 - $5,706 405%
Verity Healthnet $4,652 530%
Cigna $4,747 541%
Kaiser Permanente $4,747 541%
Gilsbar $5,222 595%
Self Pay $5,222 595%
Geha $7,595 - $9,019 866%
Multiplan $8,070 920%
Phcs $8,070 920%
Work Comp City Of Ruston $8,545 974%
Work Comp First Health $8,545 974%
Work Comp Nlmc Emp $8,545 974%
Workers Compensation $8,545 974%
Aarp $9,494 1082%
Aflc American Family Life $9,494 1082%
American Life Accident $9,494 1082%
Apwu Health Plan $9,494 1082%
Bankers Life And Casualty $9,494 1082%
Benefit Trust Life $9,494 1082%
Crime Victims Compensatio $9,494 1082%
Equitable $9,494 1082%
Fox Everett Inc $9,494 1082%
Gmp Employers Retiree Tru $9,494 1082%
Gsu Athletics $9,494 1082%
Guarantee Trust Life Ins $9,494 1082%
Healthfirst Tpa $9,494 1082%
Hospice Of Caring Hearts $9,494 1082%
Ima Insurance $9,494 1082%
Industrial Accounts $9,494 1082%
Liberty Healthshare $9,494 1082%
Liberty Mutual Group $9,494 1082%
Lifecare Specialty Hosp $9,494 1082%
Lin Parish Detention $9,494 1082%
Lincoln Kidney Center $9,494 1082%
Ltu Athletics $9,494 1082%
Ltu Student Ins Bollinger $9,494 1082%
Mcr American Hlth Adv $9,494 1082%
Misc Commercial $9,494 1082%
Mva Insurance Payors $9,494 1082%
Nalc Health Benefit Plan $9,494 1082%
Nalc Natl Assoc Ltr Carri $9,494 1082%
Newera $9,494 1082%
Nlmc Community Services $9,494 1082%
Physicians Mutual Ins $9,494 1082%
Premier Hospice $9,494 1082%
Principal Mutual Life Ins $9,494 1082%
Protective Life Ins $9,494 1082%
Ruston Regional Specialty $9,494 1082%
Specialty Hosp Of Winnfie $9,494 1082%
State Farm Insurance $9,494 1082%
State Mutual Ins $9,494 1082%
Sterling Investors Life $9,494 1082%
The Hartford $9,494 1082%
Union Bankers Insurance C $9,494 1082%
Union Fidelity Life Ins $9,494 1082%
United American $9,494 1082%
United Teachers Ins $9,494 1082%
Us Dept Of Labor $9,494 1082%
Washington National Ins $9,494 1082%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals