CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Menifee Global Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$218

about 1.0× the $224 Medicare rate · typically $39–$287

modeled estimate · not a bill or quote

Medicare pays $224 Fair price $218 Cash price $171 Hospital's list price $171

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.

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	$280 - $370	125%
Blue Cross Blue Shieldmajor	$18 - $928	8%
Aetnamajor	$101 - $280	45%
Cignamajor	$127 - $315	57%
Humanamajor	$280	125%
Kaiser Permanentemajor	$159 - $280	71%
Health Net	$159 - $420	71%
Molina	$274	122%
+ 37 smaller / regional plans	$14 - $493

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 10 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 171), 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 Menifee Global 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 Menifee Global Medical Center

Compare: Breathing treatment (nebulizer) at other CA hospitals

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