CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: St. Vincent's East
Billing Code: 94640 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$183
about 0.8× the $224 Medicare rate · typically $92–$220
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $183 Hospital's list price $198
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $115 - $210 | 51% |
| Blue Cross Blue Shieldmajor | $192 | 86% |
| Aetnamajor | $25 - $206 | 11% |
| Cignamajor | $112 - $206 | 50% |
| Humanamajor | $125 - $202 | 56% |
| Ambetter (Centene) | $8 - $275 | 4% |
| + 6 smaller / regional plans | $119 - $270 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St. Vincent's East
Compare: Breathing treatment (nebulizer) at other AL hospitals
- Dale Medical Center · Ozark $74
- Whitfield Regional Hospital · Demopolis $75
- North Alabama Specialty Hospital · Athens $90
- Huntsville Hospital · Huntsville $155
- Ochsner Choctaw General · Butler $161
- Hale County Hospital · Greensboro $170
- North Alabama Medical Center · Florence $179
- The East Alabama Healthcare Authority · Opelika $179
Insurance negotiated median for the same procedure, sorted lowest first.