CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,167
  • Cash Discount Price: $3,272
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Surgical Specialty Center of Baton Rouge is $1,167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,272. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.33x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.
Cash / Self-Pay
$3,272

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,167

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: $3,272 (373%)
Insurance Median: $1,167 (133%)
Cash: $3,272 (373% of Medicare)
Ins. Median: $1,167 (133% 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
Verity $601 69%
Aetna $655 - $801 75%
Amerihealth $655 75%
Healthy_Blue $655 75%
Humana $655 - $1,174 75%
Lhc $655 75%
Medicaid / KanCare $655 75%
United_Caid $655 75%
Cigna $753 86%
Lsufirst $760 87%
Blue Cross Blue Shield $778 - $1,126 89%
Medadv-Peoples $778 89%
Medicare (plans) $778 89%
Tricare $778 89%
UnitedHealthcare $778 89%
Va $785 89%
Wellcare $816 93%
Lucent $1,089 124%
Ehn $1,167 133%
Coventry $1,213 138%
Workcomp_Cov $1,213 138%
Uhc_Commcoffee $1,299 148%
United $1,578 180%
Ambetter / Centene $1,623 185%
Workcomp_Saints $1,788 204%
Gilsbar $2,138 244%
Multiplan-Pos $2,618 298%
Multiplan-Ppo $2,618 298%
Ppoplus $2,661 303%
Stjude $2,836 323%
Bayou-Med $3,054 348%
Dma $3,054 348%
Lsu $3,054 348%
Southern-Univ $3,054 348%
Womans_Hosp $3,054 348%
Reny $3,272 373%
Workcomp_3R $3,534 403%
Three_Rivers $3,709 423%
Workcomp_Strat $3,709 423%
Geha $3,839 438%
Workcomp_Fp $3,927 448%
Usa_Mco $4,101 467%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8080 Bluebonnet Blvd, Baton Rouge, LA 70810
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals