CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Byrd Regional Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $967
Cash Discount Price: $632
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Byrd Regional Hospital is $967. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $632. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.10x the Medicare baseline. Located in 1020 Fertitta Blvd, Leesville, LA.

Cash / Self-Pay

$632

Average discount available for prompt cash payment at this facility.

Insurance Median

$967

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: $632 (72%)

Insurance Median: $967 (110%)

Cash: $632 (72% of Medicare)

Ins. Median: $967 (110% 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	$145 - $3,100	17%
Amerihealth Caritas	$145 - $439	17%
Correct Care Int Hth	$145 - $439	17%
Healthy Blue	$145 - $439	17%
La Healthcare Conn Mdcaid	$145 - $439	17%
Medicaid / KanCare	$145 - $439	17%
UnitedHealthcare	$145 - $3,100	17%
Humana	$159 - $483	18%
Self Pay	$335 - $930	38%
Coventry Healthcare Of La	$448 - $1,851	51%
Cigna	$659 - $1,972	75%
Verity Health	$781 - $2,170	89%
Us Dept Of Labor	$1,004 - $2,790	114%
Workers Comp	$1,004 - $2,790	114%
Aflac	$1,116 - $3,100	127%
American Health Advantage	$1,116 - $3,100	127%
Amfirst	$1,116 - $3,100	127%
Hospice Of Leesville	$1,116 - $3,100	127%
Industrial	$1,116 - $3,100	127%
Misc Comm	$1,116 - $3,100	127%
Mischmoppo	$1,116 - $3,100	127%
Mutual Of Omaha	$1,116 - $3,100	127%
Mva	$1,116 - $3,100	127%
Phcs Private Health	$1,116 - $3,100	127%
Physicans Mutual	$1,116 - $3,100	127%
State Farm Insurance	$1,116 - $3,100	127%
Sterling	$1,116 - $3,100	127%
Stonetrust	$1,116 - $3,100	127%
Tri Parish Rehab	$1,116 - $3,100	127%
United Teacher Asso	$1,116 - $3,100	127%
Web Tpa	$1,116 - $3,100	127%
Blue Cross Blue Shield	$1,577	180%

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 $632.
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 Byrd Regional 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.