CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Christus Southeast Texas- St Elizabeth

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,111
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Christus Southeast Texas- St Elizabeth is $1,111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.27x the Medicare baseline. Located in 2830 Calder Avenue, Beaumont, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,111

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%)

Insurance Median: $1,111 (127%)

Ins. Median: $1,111 (127% 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	$1,019 - $4,702	116%
Allwell	$1,019	116%
Arcadian Health Plan	$1,019	116%
Blue Cross Blue Shield	$1,019 - $2,389	116%
Christus Health	$1,019 - $1,427	116%
Community Health Choice	$1,019	116%
Coventry	$1,019	116%
Humana	$1,019 - $1,645	116%
Molina	$1,019	116%
Texas Healthspring	$1,019	116%
Triwest	$1,019	116%
UnitedHealthcare	$1,019 - $2,093	116%
Wellcare	$1,019	116%
Provider Partners Health Plan	$1,050	120%
Texas Independence Health Plan	$1,050	120%
Shared Health Insurance Company	$1,070	122%
Us Imaging Network	$1,090	124%
Amerigroup	$1,101	125%
Devoted Health Plan	$1,101	125%
Imperial Health Plan	$1,121	128%
Medicare (plans)	$1,121	128%
Procare Advantage	$1,121	128%
Adv Cardiovas Specialist	$2,038	232%
Naphcare Inc.	$2,038	232%

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 $X.
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 Christus Southeast Texas- St Elizabeth 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.