CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Tri-City Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$247
about 1.1× the $224 Medicare rate · typically $61–$266
modeled estimate · not a bill or quote
What this hospital charges insurers
$282
About the fair price
about $35 over the fair price · 1.3× Medicare
Medicare pays $224 Fair price $247 This hospital $282 Cash price $323 Hospital's list price $538

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $20 Priciest $282

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

A fair price for a Breathing treatment (nebulizer) is about $247 (about 1.1× the $224 Medicare rate). Tri-City Medical Center charges insurers about $282, or about $323 in cash — about the fair price. Located in Oceanside, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $226 - $282 101%
Blue Cross Blue Shieldmajor $54 - $320 24%
Aetnamajor $282 - $377 126%
Cignamajor $398 - $425 178%
Humanamajor $282 126%
Kaiser Permanentemajor $282 126%
Bright Health $451 202%
Health Net $12 - $445 5%
Molina $282 - $380 126%
Providence Health Plan $394 176%
+ 8 smaller / regional plans $282 - $422
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4002 Vista Way, Oceanside, CA 92056
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals