CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Northwest Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$182
about 0.8× the $224 Medicare rate · typically $35–$243
modeled estimate · not a bill or quote
What this hospital charges insurers
$235
Above the fair price
about $53 over the fair price · 1.0× Medicare
Medicare pays $224 Fair price $182 This hospital $235 Cash price $295 Hospital's list price $984

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

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

Cheapest $34 Priciest $235

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

A fair price for a Breathing treatment (nebulizer) is about $182 (about 0.8× the $224 Medicare rate). Northwest Medical Center charges insurers about $235, or about $295 in cash — above the fair price. Located in Tucson, AZ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $182. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $148 - $492 66%
Blue Cross Blue Shieldmajor $60 - $234 27%
Aetnamajor $177 - $590 79%
Cignamajor $230 - $250 103%
Humanamajor $230 103%
Ambetter (Centene) $329 147%
Banner Health $241 108%
Clover Health $236 105%
Devoted Health $237 106%
Health Net $370 165%
WellCare $241 108%
+ 11 smaller / regional plans $142 - $537
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 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: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals