CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Kingman Regional Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $64
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Kingman Regional Medical Center is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.29x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $24 (11%)
Insurance Median: $64 (29%)
Cash: $24 (11% of Medicare)
Ins. Median: $64 (29% 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
Apipa - Ahcccs-All Other Plans $8 - $372 4%
Health Choice Az $8 - $372 4%
Health Choice Generations $8 - $234 4%
Hpn Sierra Nevada Mcr Adv $8 - $234 4%
Medicare (plans) $8 - $234 4%
Triwest - All Plans $8 - $234 4%
Care 1St Mcaid $9 - $391 4%
Care 1St Mcr Adv-All Other Plans $9 - $245 4%
Humana $9 - $262 4%
Mercy Care Adv Snp-All Other Plans $9 - $257 4%
Mercy Care Ahcccs Ddd $9 - $409 4%
UnitedHealthcare $10 - $584 4%
Aetna $13 - $230 6%
Geo Group Chc Az State Prison-All Plans $13 - $350 6%
Health Plan Of Nevada-All Other Plans $13 - $224 6%
Blue Cross Blue Shield $14 - $212 6%
Health Choice Hie Exchange $14 - $298 6%
Multiplan-All Plans $14 - $298 6%
Health Choice- All Other Plans $21 - $584 9%
Cigna $30 - $335 13%
Three Rivers-All Plans $52 - $342 23%
America'S Choice Provider Network-All Plans $54 - $353 24%
Az Foundation-All Plans $57 - $372 25%
Mediversal-All Plans $57 - $372 25%
One Health Plan-All Plans $57 - $372 25%
Universal Health-All Plans $57 - $372 25%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3269 Stockton Hill Road, Kingman, AZ 86401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals