CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Avoyelles Hospital
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $3,277
- Cash Discount Price: $1,092
- vs. Medicare Baseline: 3.74x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Avoyelles Hospital is $3,277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,092. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 3.74x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$1,092
Average discount available for prompt cash payment at this facility.
Insurance Median
$3,277
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: $1,092 (124%)
Insurance Median: $3,277 (374%)
Cash: $1,092 (124% of Medicare)
Ins. Median: $3,277 (374% 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 374% of the Medicare baseline (a markup of 274%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 | $578 - $2,046 | 66% |
| Amer Contl Ins | $578 - $2,046 | 66% |
| Coventry | $578 - $2,046 | 66% |
| First Choice Health | $578 - $2,046 | 66% |
| Meritan Health | $578 - $3,641 | 66% |
| Cigna | $757 - $2,054 | 86% |
| Correct Cr Int Hlt | $757 | 86% |
| Mcd Amerihealth Caritas | $757 | 86% |
| Mcd Healthy Blue | $757 | 86% |
| Mcd La Hc Conn | $757 | 86% |
| Medicaid / KanCare | $757 | 86% |
| UnitedHealthcare | $757 | 86% |
| Mcd Ms | $833 | 95% |
| Student Assurances | $1,092 - $3,641 | 124% |
| Humana | $1,311 - $2,064 | 149% |
| Blue Cross Blue Shield | $1,424 | 162% |
| Ofc Of Grp Bene | $1,424 | 162% |
| Ppo Plus Llc | $2,185 | 249% |
| Zelis Healthcare Bpa | $2,185 | 249% |
| Gilsbar | $2,294 | 261% |
| Amerind | $3,277 | 374% |
| Applied Underwriters | $3,277 | 374% |
| Sedgwick | $3,277 | 374% |
| Us Dept Of Labor | $3,277 | 374% |
| Wc Clms Admin Svcs | $3,277 | 374% |
| Wc Clms Mgmnt Walmart | $3,277 | 374% |
| Wc Esis | $3,277 | 374% |
| Wc Fara | $3,277 | 374% |
| Wc Gallagher Bassett | $3,277 | 374% |
| Wc Guide One | $3,277 | 374% |
| Wc Hartford Med | $3,277 | 374% |
| Wc Luba | $3,277 | 374% |
| Wc Lwcc | $3,277 | 374% |
| Wc Paragon Casino Resort | $3,277 | 374% |
| Wc Risk Mgmnt | $3,277 | 374% |
| Wc Stone Trust | $3,277 | 374% |
| Wc Summit Consulting Hold | $3,277 | 374% |
| Wc Travelers Ins | $3,277 | 374% |
| Wc Trs Workers Comp Claim | $3,277 | 374% |
| Wc Us Dol | $3,277 | 374% |
| Wc Zurich | $3,277 | 374% |
| Aarp | $3,641 | 415% |
| Admin Concepts | $3,641 | 415% |
| All Saints Hospice | $3,641 | 415% |
| All State | $3,641 | 415% |
| Allegiance Health Hospice | $3,641 | 415% |
| Allied Natl | $3,641 | 415% |
| Amfirst | $3,641 | 415% |
| Avoy Parish School Board | $3,641 | 415% |
| Avoyelles Parish Sheriff | $3,641 | 415% |
| Bollinger | $3,641 | 415% |
| Ccmsi | $3,641 | 415% |
| Central States | $3,641 | 415% |
| Christus Health Plan | $3,641 | 415% |
| Compassionate Care Hospic | $3,641 | 415% |
| Core Source | $3,641 | 415% |
| Coushatta Hlth Dept | $3,641 | 415% |
| Ebms | $3,641 | 415% |
| Federated Ins | $3,641 | 415% |
| Feedom Life | $3,641 | 415% |
| Fidelity Standard Life Co | $3,641 | 415% |
| Fox Everette | $3,641 | 415% |
| Guarantee Trust | $3,641 | 415% |
| Heart Of Hospice | $3,641 | 415% |
| Hos Christus Hospice | $3,641 | 415% |
| Hos Guardian Hospice Care | $3,641 | 415% |
| Hos Harbor Hospice Alex | $3,641 | 415% |
| Hos La Hospice Palliative | $3,641 | 415% |
| Hos Passages Hospice N. | $3,641 | 415% |
| Hos St Joseph Hospice | $3,641 | 415% |
| Hospice Miscellaneous | $3,641 | 415% |
| Ins Mgmnt Admin | $3,641 | 415% |
| Ins Tpa | $3,641 | 415% |
| Liberty Health Share | $3,641 | 415% |
| Lumico | $3,641 | 415% |
| Manhattan Life Ins | $3,641 | 415% |
| Medi Share | $3,641 | 415% |
| Misc Comm | $3,641 | 415% |
| Nalc | $3,641 | 415% |
| New Era Life | $3,641 | 415% |
| North American | $3,641 | 415% |
| Phcs | $3,641 | 415% |
| Physicians Mutual | $3,641 | 415% |
| Pipeline Ind Bene | $3,641 | 415% |
| Progressive Auto | $3,641 | 415% |
| Reliance Standard Life | $3,641 | 415% |
| Rural Carriers | $3,641 | 415% |
| Shelter Ins Co | $3,641 | 415% |
| Sierre Health And Life | $3,641 | 415% |
| State Farm | $3,641 | 415% |
| State Mutual | $3,641 | 415% |
| Sterling Investors | $3,641 | 415% |
| The Health Plan | $3,641 | 415% |
| Tribal Hlth Partners | $3,641 | 415% |
| Tricare | $3,641 | 415% |
| Trustmark Health Benefits | $3,641 | 415% |
| Tunica Biloxi | $3,641 | 415% |
| Uct | $3,641 | 415% |
| Unified Life | $3,641 | 415% |
| Usaa Life Ins | $3,641 | 415% |
| Web-Tpa | $3,641 | 415% |
| Woodmen Of The World | $3,641 | 415% |