CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Claiborne Memorial Medical Center
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $1,749
- Cash Discount Price: $2,109
- vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Claiborne Memorial Medical Center is $1,749. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,109. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.99x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$2,109
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,749
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: $2,109 (240%)
Insurance Median: $1,749 (199%)
Cash: $2,109 (240% of Medicare)
Ins. Median: $1,749 (199% 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.
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 |
|---|---|---|
| Ambetter / Centene | $122 | 14% |
| Medicaid / KanCare | $122 - $1,060 | 14% |
| Aetna | $700 - $1,604 | 80% |
| Commercial Insurance | $700 - $2,468 | 80% |
| Meritain Health | $700 - $1,604 | 80% |
| Sedgwick Claims Mgmt Serv | $708 - $2,221 | 81% |
| Workman'S Comp | $708 - $2,221 | 81% |
| Amerihealth Caritas La | $752 - $1,060 | 86% |
| Community Health Solution | $752 - $1,060 | 86% |
| Correctcare Intergrated | $752 - $1,060 | 86% |
| Healthy Blue | $752 - $1,060 | 86% |
| Humana | $752 - $2,468 | 86% |
| Louisiana Hc Connections | $752 - $1,060 | 86% |
| Magellan Services | $752 - $1,060 | 86% |
| UnitedHealthcare | $752 - $1,060 | 86% |
| Coventry Healthcare | $1,049 - $1,481 | 120% |
| Geha | $1,224 - $1,728 | 140% |
| Health Plus Of La | $1,224 - $1,851 | 140% |
| Apwu Healthplan | $1,312 - $1,851 | 150% |
| Cigna | $1,312 - $1,851 | 150% |
| Great West Healthcare | $1,312 - $1,851 | 150% |
| Phcs | $1,399 - $1,974 | 159% |
| Ppo Plus | $1,399 - $1,974 | 159% |
| Aarp | $1,749 - $2,468 | 199% |
| Accordia National | $1,749 - $2,468 | 199% |
| Aflac | $1,749 - $2,468 | 199% |
| Alameda Alliance Forhealt | $1,749 - $2,468 | 199% |
| American Pioneer | $1,749 - $2,468 | 199% |
| Benefit Management | $1,749 - $2,468 | 199% |
| Benesys Inc | $1,749 - $2,468 | 199% |
| Business Guarantor | $1,749 - $2,468 | 199% |
| Chubb | $1,749 - $2,468 | 199% |
| Commercial Sr. Care | $1,749 - $2,468 | 199% |
| Employee Benefit Services | $1,749 - $2,468 | 199% |
| Family Life Insurance Co | $1,749 - $2,468 | 199% |
| Farm Bureau Insurance | $1,749 - $2,468 | 199% |
| Fiserv Health Benefit | $1,749 - $2,468 | 199% |
| Gmp | $1,749 - $2,468 | 199% |
| Group And Pension Admin | $1,749 - $2,468 | 199% |
| Group Resources | $1,749 - $2,468 | 199% |
| Haik Minvielle And Grubbs | $1,749 - $2,468 | 199% |
| Harrington Benefit Svs | $1,749 - $2,468 | 199% |
| Health Design Plus | $1,749 - $2,468 | 199% |
| Health Plan | $1,749 - $2,468 | 199% |
| Healthscope Benefits | $1,749 - $2,468 | 199% |
| Insurance Management Admi | $1,749 - $2,468 | 199% |
| Jefferson National | $1,749 - $2,468 | 199% |
| John Alden Health Ins | $1,749 - $2,468 | 199% |
| John Hancock | $1,749 - $2,468 | 199% |
| Liberty Mutual | $1,749 - $2,468 | 199% |
| Mailhandlers Benefit Plan | $1,749 - $2,468 | 199% |
| Manhattan Life Ins Co | $1,749 - $2,468 | 199% |
| Mega Life And Health | $1,749 - $2,468 | 199% |
| Msa Careguard | $1,749 - $2,468 | 199% |
| Mutual Of Omaha | $1,749 - $2,468 | 199% |
| Nalc Health Benefit Plan | $1,749 - $2,468 | 199% |
| Naphcare Inc. | $1,749 - $2,468 | 199% |
| New Era Life Ins Co | $1,749 - $2,468 | 199% |
| Physicians Mutual | $1,749 - $2,468 | 199% |
| Principal Financial Group | $1,749 - $2,468 | 199% |
| Prudential Healthcare | $1,749 - $2,468 | 199% |
| Self Pay | $1,749 - $2,468 | 199% |
| State Farm | $1,749 - $2,468 | 199% |
| State Farm Insurance | $1,749 - $2,468 | 199% |
| State Mutual Insurance Co | $1,749 - $2,468 | 199% |
| Sterling Investors Life | $1,749 - $2,468 | 199% |
| Tower Life | $1,749 - $2,468 | 199% |
| Transamerica Premier Ins | $1,749 - $2,468 | 199% |
| United American | $1,749 - $2,468 | 199% |
| United Comm Travelers | $1,749 - $2,468 | 199% |
| United Teachers | $1,749 - $2,468 | 199% |
| Usable Administrator | $1,749 - $2,468 | 199% |
| Visn 16 Cfu | $1,749 - $2,468 | 199% |
| Wausau Benefits | $1,749 - $2,468 | 199% |
| Webtpa | $1,749 - $2,468 | 199% |
| Wells Fargo | $1,749 - $2,468 | 199% |
| Woodmen Of The World | $1,749 - $2,468 | 199% |
| Blue Cross Blue Shield | $2,095 | 239% |