CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Shasta Regional Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $175
Cash Discount Price: $280
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Shasta Regional Medical Center is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $280. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.78x the Medicare baseline. Located in 1100 Butte St, Redding, CA.

Cash / Self-Pay

$280

Average discount available for prompt cash payment at this facility.

Insurance Median

$175

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: $280 (125%)

Insurance Median: $175 (78%)

Cash: $280 (125% of Medicare)

Ins. Median: $175 (78% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Traditional Medi-Cal	$17	8%
Vibra Hospital	$17 - $420	8%
Country Medical Services Program	$25	11%
Partnership Health Plan	$67	30%
Blue Cross Blue Shield	$71	32%
Aetna	$161 - $358	72%
Astiva Health Inc	$161 - $280	72%
Bethel Church Of Redding	$161 - $701	72%
Blue Shield Of Va	$161 - $280	72%
Ca Dept Of Veterans Affairs (Calvet)	$161 - $280	72%
Employer Direct Healthcare	$161 - $392	72%
Health Net Federal Services	$161 - $350	72%
Health Net Of Ca	$161 - $280	72%
Medicare (plans)	$161 - $280	72%
Prison	$161 - $280	72%
Renal Payer Solutions	$161 - $280	72%
Tricare	$161 - $280	72%
Worker Comp	$161 - $369	72%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $280.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 94640.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Shasta Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 94640.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.