CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Claiborne Memorial Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$999

about 1.1× the $877 Medicare rate · typically $570–$1,652

modeled estimate · not a bill or quote

What this hospital charges insurers

$708

Below the fair price — a good deal

about $291 under the fair price · 0.8× Medicare

Medicare pays $877 Fair price $999 This hospital $708 Cash price $2,109 Hospital's list price $2,109

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

On the higher side — 6 of 8 other LA hospitals charge less.

Cheapest $289 Priciest $778

Black dot = this hospital, among the 9 LA hospitals with a price for this procedure. Full list below.

A fair price for a Sleep study (overnight, in lab) is about $999 (about 1.1× the $877 Medicare rate). Claiborne Memorial Medical Center charges insurers about $708, or about $2,109 in cash — below the fair price — a good deal. Located in Homer, LA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$752 - $2,468	86%
Blue Cross Blue Shieldmajor	$2,095	239%
Aetnamajor	$700 - $1,604	80%
Cignamajor	$1,312 - $1,851	150%
Humanamajor	$752 - $2,468	86%
Ambetter (Centene)	$122	14%
AmeriHealth	$752 - $1,060	86%
GEHA	$1,224 - $1,728	140%
+ 57 smaller / regional plans	$700 - $2,468

Government programs also on file: Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,109), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 95810.

Insurance Before you use insurance

Call your insurance company to confirm Claiborne Memorial Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 95810.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Claiborne Memorial Medical Center

Compare: Sleep study (overnight, in lab) at other LA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.