CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Grandview Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$196
about 0.9× the $224 Medicare rate · typically $88–$219
modeled estimate · not a bill or quote
What this hospital charges insurers
$201
About the fair price
about $5 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $196 This hospital $201 Cash price $129 Hospital's list price $661

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $74 Priciest $201

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $196 (about 0.9× the $224 Medicare rate). Grandview Medical Center charges insurers about $201, or about $129 in cash — about the fair price. Located in Birmingham, AL.

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 $179 - $297 80%
Blue Cross Blue Shieldmajor $90 40%
Aetnamajor $184 - $203 82%
Cignamajor $201 - $326 90%
Humanamajor $197 88%
Ambetter (Centene) $300 134%
Cigna HealthSpring $351 157%
Clover Health $202 90%
Devoted Health $201 90%
SelectHealth $199 89%
WellCare $204 91%
+ 19 smaller / regional plans $165 - $595
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals