CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: University of Alabama Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $201
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at University of Alabama Hospital is $201. 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 $223.72, this hospital’s rate is 0.90x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$201

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)
Insurance Median: $201 (90%)
Ins. Median: $201 (90% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 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.

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
Viva $29 - $250 13%
University Of Alabama $109 - $140 49%
UnitedHealthcare $119 - $248 53%
Aetna $133 - $170 59%
Coventry $142 - $225 63%
North Alabama Managed Care $142 - $181 63%
Cigna $146 - $213 65%
Comp One $157 - $201 70%
Construction Claims Management $163 - $209 73%
Alamed $164 - $209 73%
Humana $168 - $237 75%
Corvel $174 - $223 78%
Evolutions $174 - $251 78%
Healthcare Alliance $174 - $223 78%
Novanet $174 - $251 78%
Prime Health Services $174 - $251 78%
Select Value Care $174 - $223 78%
Starcare $174 - $223 78%
Tethys $174 - $223 78%
Multiplan $179 - $229 80%
Birmingham Fc $182 81%
Blue Cross Blue Shield $182 81%
Cooper Green $182 81%
Davita Villagehealth $182 81%
Jefferson County Sheriff $182 81%
Triwest $182 81%
Department Of Labor $185 - $237 83%
Geha $185 - $237 83%
Gulf Health Plans $185 - $237 83%
Heritage Summit Health $185 - $237 83%
Mississippi Physicians $185 - $237 83%
Phifer $185 - $237 83%
Preferred Health Partnership $185 - $237 83%
Southern Nuclear $185 - $237 83%
Vantage Health Plan $185 - $237 83%
Galaxy Health Network $196 - $251 88%
National Provider Network $196 - $251 88%
North Mississippi Health Link $196 - $251 88%
Ambetter / Centene $250 112%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals