CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Ochsner St Anne General Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $2,087
Cash Discount Price: $1,626
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Ochsner St Anne General Hospital is $2,087. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,626. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 2.38x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$1,626

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,087

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: $1,626 (185%)

Insurance Median: $2,087 (238%)

Cash: $1,626 (185% of Medicare)

Ins. Median: $2,087 (238% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 238% of the Medicare baseline (a markup of 138%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$775	88%
Tricare	$1,029 - $1,143	117%
Humana	$1,102 - $1,146	126%
UnitedHealthcare	$1,102 - $4,553	126%
Healthy Blue (Healthy Louisiana)	$1,124	128%
Louisiana Healthcare Connections (Healthy Louisiana)	$1,124	128%
Aetna	$1,135 - $2,087	129%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$1,135	129%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$1,146	131%
Blue Cross Blue Shield	$1,146 - $2,600	131%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$1,146	131%
Medicare (plans)	$1,146	131%
Ochsner Health Plan	$1,146	131%
Healthcomp & Personify Health (Formerly Gilsbar)	$2,772	316%
Louisiana Workers' Compensation Corporation (Lwcc)	$2,772	316%
Mississippi Physicians Care Network	$2,772	316%
Employers Health Network (Ehn)	$3,142	358%
First Health Network	$3,142	358%
Prime Health Services Ppo	$3,142	358%
Claritev D/B/A Multiplan/Phcs/American Life Care	$3,326	379%
Usa Managed Care Network	$3,326	379%
Zelis	$3,326	379%
Cigna	$3,537	403%

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 $1,626.
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 St Anne General 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.