CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,656
Cash Discount Price: $1,228
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Ochsner Medical Center - Baton Rouge is $1,656. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,228. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.89x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$1,228

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,656

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: $1,228 (140%)

Insurance Median: $1,656 (189%)

Cash: $1,228 (140% of Medicare)

Ins. Median: $1,656 (189% 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
Humana	$753 - $935	86%
UnitedHealthcare	$753 - $1,894	86%
Healthy Blue (Healthy Louisiana)	$768	88%
Louisiana Healthcare Connections (Healthy Louisiana)	$768	88%
Medicaid / KanCare	$775	88%
Aetna	$776 - $1,656	88%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$776	88%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$935	107%
Blue Cross Blue Shield	$935 - $2,359	107%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$935	107%
Medicare (plans)	$935	107%
Ochsner Health Plan	$935	107%
Tricare	$935	107%
Claritev D/B/A Multiplan/Phcs/American Life Care	$2,303	262%
Healthcomp & Personify Health (Formerly Gilsbar)	$2,303	262%
Louisiana Workers' Compensation Corporation (Lwcc)	$2,878	328%
Mississippi Physicians Care Network	$2,878	328%
First Health Network	$3,070	350%
Prime Health Services Ppo	$3,262	372%
Usa Managed Care Network	$3,262	372%
Cigna	$3,608	411%

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 $1,228.
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 Ochsner Medical Center - Baton Rouge 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.