CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $989
Cash Discount Price: $1,383
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Ochsner Stennis Memorial Hospital is $989. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,383. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.13x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$1,383

Average discount available for prompt cash payment at this facility.

Insurance Median

$989

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: $1,383 (158%)

Insurance Median: $989 (113%)

Cash: $1,383 (158% of Medicare)

Ins. Median: $989 (113% 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
Prime Health Services Ppo -Workers Comp	$193 - $972	22%
Cor Vel	$195 - $993	22%
Select Administrative Services Network	$357 - $2,450	41%
Humana	$434 - $2,100	49%
Cigna	$530 - $2,100	60%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$530 - $2,121	60%
Medicaid / KanCare	$530 - $813	60%
Medicare (plans)	$530 - $2,415	60%
UnitedHealthcare	$530 - $2,739	60%
Shared Health Mississippi	$556 - $2,205	63%
Prime Health Services Ppo	$609 - $2,800	69%
Ambetter / Centene	$742 - $2,121	85%
Blue Cross Blue Shield	$839 - $1,841	96%
Primewell Health Services Commercial Exchange Plan	$859 - $2,345	98%
Primewell Health Services – Commercial	$859 - $2,345	98%
Aetna	$885 - $2,275	101%
Claritev D/B/A Multiplan/Phcs/American Life Care	$1,307 - $2,625	149%
Zelis	$1,514 - $2,625	173%

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 $1,383.
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 Stennis Memorial 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.