CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 95810
Insurance Median: $1,515
Cash Discount Price: $1,123
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at CHI St Lukes Health Memorial San Augustine is $1,515. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,123. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.73x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.

Cash / Self-Pay

$1,123

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,515

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: $1,123 (128%)

Insurance Median: $1,515 (173%)

Cash: $1,123 (128% of Medicare)

Ins. Median: $1,515 (173% 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
Cigna	$100 - $977	11%
Aetna	$922 - $1,871	105%
Humana	$922 - $5,238	105%
Wellpoint	$950 - $1,515	108%
Blue Cross Blue Shield	$1,010 - $1,332	115%
United	$1,010 - $7,483	115%
Scanhealth	$1,029	117%
Md Save	$1,152	131%
Angelina County	$2,517	287%
Brookshire Brothers	$2,766	315%
PHCS	$5,089 - $5,987	580%
Multiplan	$5,238	597%
Galaxy	$6,735	768%
Entrust	$7,783	887%

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 $1,123.
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 CHI St Lukes Health Memorial San Augustine 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.