CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Parkview Community Hospital Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $147
Cash Discount Price: $223
vs. Medicare Baseline: 0.66x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Parkview Community Hospital Medical Center is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $223. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.66x the Medicare baseline. Located in 3865 Jackson Street, Riverside, CA.

Cash / Self-Pay

$223

Average discount available for prompt cash payment at this facility.

Insurance Median

$147

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: $223 (100%)

Insurance Median: $147 (66%)

Cash: $223 (100% of Medicare)

Ins. Median: $147 (66% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$17 - $436	8%
Blue Shield	$17 - $282	8%
Health Net	$17 - $399	8%
Medi-Cal	$17	8%
Molina Medi-Cal	$17	8%
Regal	$20 - $231	9%
Ahmc	$49 - $139	22%
UnitedHealthcare	$59 - $593	26%
Aetna	$66 - $282	30%
Blue Shield Ppo	$97 - $116	43%
Cigna	$111	50%
Self Pay	$164 - $462	73%
Iehp	$225 - $360	101%
Central Health Plan	$250	112%
Humana	$272	122%
Alignment	$277	124%
Medicare (plans)	$277	124%
Champus	$282	126%
Molina Covered Ca	$282	126%
Molina Senior	$282	126%
Scan	$282	126%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $223.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 94640.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkview Community Hospital Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 94640.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.