CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: University of California Davis Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $21
  • Cash Discount Price: $239
  • vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at University of California Davis Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.09x the Medicare baseline. Located in 2315 Stockton Boulevard, Sacramento, CA.
Cash / Self-Pay
$239

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $239 (107%)
Insurance Median: $21 (9%)
Cash: $239 (107% of Medicare)
Ins. Median: $21 (9% 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.

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
Adventist $9 4%
Generic $9 4%
Healthnet $9 - $870 4%
Dignity/Chw $10 4%
Blue Cross Blue Shield $21 - $284 9%
Carpenters H&W $21 9%
Cement Masons Trust Fund $21 9%
Delta $21 9%
Healthcomp $21 9%
Ironworkers $21 9%
Joint Benefit Trust $21 9%
Laborers Health And Welfare $21 9%
Operating Engrs Health Welfare $21 9%
Sierra Pacific Industries $21 9%
Western Growers $21 9%
UnitedHealthcare $295 - $1,520 132%
Blue Shield Senior $298 133%
Healthnet Senior $301 135%
San Joaquin Health Plan Gmc $313 140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2315 Stockton Boulevard, Sacramento, CA 95817
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals