CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Baptist Memorial Hospital Jonesboro, Inc.
Billing Code: 94640 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 94640
- Insurance Median: $281
- Cash Discount Price: $48
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Baptist Memorial Hospital Jonesboro, Inc. is $281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.26x the Medicare baseline. Located in 4800 East Johnson Avenue, Jonesboro, AR.
Cash / Self-Pay
$48
Average discount available for prompt cash payment at this facility.
Insurance Median
$281
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%)
Cash / Self-Pay: $48 (21%)
Insurance Median: $281 (126%)
Cash: $48 (21% of Medicare)
Ins. Median: $281 (126% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Access Health Services | $6 - $300 | 3% |
| Caresource | $6 | 3% |
| Summit Community Care | $6 | 3% |
| Aetna | $10 - $197 | 4% |
| Cigna | $11 - $189 | 5% |
| Home State Health Plan | $63 | 28% |
| Humana | $63 - $197 | 28% |
| Ppo Holdings | $95 | 42% |
| Magnolia Regional Health Center | $100 | 45% |
| Multiplan | $108 - $176 | 48% |
| UnitedHealthcare | $115 - $193 | 51% |
| Littler | $126 | 56% |
| Ppo Plus | $126 - $319 | 56% |
| Blue Cross Blue Shield | $151 - $191 | 67% |
| First Choice Health Plan Of Ms | $176 - $337 | 79% |
| Municipal Health Benefit Fund | $176 | 79% |
| Triwest | $180 | 80% |
| Springs Of Jonesboro | $187 | 84% |
| Vaccn | $187 | 84% |
| Veterans Evaluation Services | $187 | 84% |
| Mpcn | $188 | 84% |
| Novasys | $189 - $244 | 84% |
| Devoted Health | $191 | 85% |
| Primewell | $197 - $525 | 88% |
| Shared Health | $197 | 88% |
| Healthlink | $201 | 90% |
| Arlington Community Schools | $281 | 126% |
| Armstrong Relocation | $281 | 126% |
| Ashley Furniture Stores | $281 | 126% |
| Bartlett City Schools | $281 | 126% |
| Brimhall Foods | $281 | 126% |
| Building Plastic | $281 | 126% |
| Cannon Motor Company | $281 | 126% |
| Carlisle | $281 | 126% |
| City Of Bartlett | $281 | 126% |
| City Of Lakeland | $281 | 126% |
| Collierville Schools | $281 | 126% |
| Crittenden County | $281 | 126% |
| Davidson Hospitality | $281 | 126% |
| Desoto Co Board Of Supervisors | $281 | 126% |
| Dunn Investment Company | $281 | 126% |
| Eas Mssc Schools | $281 | 126% |
| Gossett Motor Cars | $281 | 126% |
| Heavy Machines | $281 | 126% |
| Hollowell Industries | $281 | 126% |
| Hospitality Management Advisors | $281 | 126% |
| Jas D Collier | $281 | 126% |
| Lakeland School System | $281 | 126% |
| Malco Theaters | $281 | 126% |
| Mechanical Systems | $281 | 126% |
| Mid-South Transport | $281 | 126% |
| Patterson Warehouses | $281 | 126% |
| Radians | $281 | 126% |
| Rei Nation | $281 | 126% |
| Retzer Resources | $281 | 126% |
| Ritchey Automotive | $281 | 126% |
| Security One | $281 | 126% |
| Silver Tree | $281 | 126% |
| State Systems | $281 | 126% |
| Town Of Collierville | $281 | 126% |
| United Tn Holdings | $281 | 126% |
| Vaughn Electric | $281 | 126% |
| W W Wood Products | $281 | 126% |
| Watkins Uiberall | $281 | 126% |
| Y K Auto Group | $281 | 126% |
| First Community Bank | $300 | 134% |
| First State Bank Trust | $319 | 143% |
| Burch Food Services | $337 | 151% |
| French Camp Academy | $337 | 151% |
| Hattiesburg Clinic | $337 | 151% |
| Heartland Catfish Company | $337 | 151% |
| W G Yates | $337 | 151% |
| Employers Health Network | $375 | 168% |
| Harding Academy | $375 | 168% |