Breathing treatment (nebulizer)
Facility: Paradise Valley Hospital
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $280
- Cash Discount Price: $280
- vs. Medicare Baseline: 1.25x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $17 - $358 | 8% |
| Blue Sheid Of Promise | $17 | 8% |
| County Of San Diego | $17 | 8% |
| Golden Physicians Medical Group | $17 - $350 | 8% |
| Health Excel Ins | $17 - $280 | 8% |
| Heritage Provider Netwrok | $17 - $364 | 8% |
| Molina | $17 - $280 | 8% |
| Traditional Medi-Cal | $17 | 8% |
| UnitedHealthcare | $17 - $280 | 8% |
| Health Net Of Ca | $18 - $409 | 8% |
| Community Health Group | $20 - $280 | 9% |
| Blue Shield Of Ca, Va | $280 | 125% |
| Ca Foundation For Medical Care | $280 | 125% |
| Central Health | $280 | 125% |
| Choice Physicians Network | $280 | 125% |
| Clever Care Of Golden State, Inc | $280 | 125% |
| Managed Health Network | $280 | 125% |
| Medicare (plans) | $280 | 125% |
| Renal Payer Solutions | $280 | 125% |
| Tricare | $280 | 125% |
| Usa Senior Care Network | $280 | 125% |
| Verda Health Plan | $280 | 125% |
| Brand New Day | $283 - $420 | 126% |
| Imperial Health Plan Of Ca | $297 | 133% |
| Health Net Federal Service (Cdcr) | $350 | 156% |
| Veterans Evaluation Services | $350 | 156% |
| Worker Comp | $369 | 165% |
| Integrated Medical Solutions | $370 | 165% |
| Ca Dept Of Correction & Rehab | $392 | 175% |
| Employer Direct Healthcare | $392 | 175% |
| Naphcare | $434 - $561 | 194% |
| Scripps Health | $476 | 213% |