CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: San Gabriel Valley Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$250
about 1.1× the $224 Medicare rate · typically $69–$325
modeled estimate · not a bill or quote
What this hospital charges insurers
$131
Below the fair price — a good deal
about $119 under the fair price · 0.6× Medicare
Medicare pays $224 Fair price $250 This hospital $131 Cash price $43 Hospital's list price $144

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 $131

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 $250 (about 1.1× the $224 Medicare rate). San Gabriel Valley Medical Center charges insurers about $131, or about $43 in cash — below the fair price — a good deal. Located in San Gabriel, CA.

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 $10 - $312 4%
Blue Cross Blue Shieldmajor $1 - $1,206 —
Aetnamajor $58 - $408 26%
Cignamajor $111 - $535 50%
Humanamajor $277 124%
Health Net $12 - $789 5%
Molina $43 - $296 19%
Presbyterian $17 8%
WellCare $277 124%
+ 31 smaller / regional plans $12 - $584
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 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: 438 W Las Tunas Drive, San Gabriel, CA 91776
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals