CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Sierra View Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$184

about 0.8× the $224 Medicare rate · typically $20–$325

modeled estimate · not a bill or quote

Medicare pays $224 Fair price $184 Cash price $166 Hospital's list price $237

How we calculate the fair BaseRate →

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente UnitedHealthcare

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
Blue Cross Blue Shieldmajor	$12 - $304	5%
Aetnamajor	$88 - $220	39%
Cignamajor	$121 - $304	54%
Humanamajor	$282	126%
Kaiser Permanentemajor	$94 - $237	42%
Health Net	$12 - $434	5%
+ 2 smaller / regional plans	$12 - $338

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 166), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Sierra View Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sierra View Medical Center

Compare: Breathing treatment (nebulizer) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.