CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Loma Linda University Medical Center-Murrieta

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $258
Cash Discount Price: $190
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Loma Linda University Medical Center-Murrieta is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.15x the Medicare baseline. Located in 28062 Baxter Road, Murrieta, CA.

Cash / Self-Pay

$190

Average discount available for prompt cash payment at this facility.

Insurance Median

$258

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: $190 (85%)

Insurance Median: $258 (115%)

Cash: $190 (85% of Medicare)

Ins. Median: $258 (115% 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
Inland Empire Health Plan (Iehp)	$19 - $258	8%
Kaiser Foundation Hospitals	$61 - $297	27%
Adventist Health	$67 - $102	30%
Lluh Dept Of Risk Management	$84 - $127	38%
Trivalley Medical Group	$100	45%
Aetna	$180 - $350	80%
Heritage Provider Network	$209 - $345	93%
Cigna	$219 - $331	98%
Epic Health Plan	$219 - $331	98%
Multiplan	$253 - $382	113%
Alpha Care Medical Group	$258 - $388	115%
Dignity Health	$258 - $388	115%
Vantage Medical Group	$258 - $388	115%
Blue Shield Of California	$284 - $354	127%
UnitedHealthcare	$319 - $376	143%
Molina Healthcare Of Ca	$326	146%
Blue Cross Blue Shield	$334	149%

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 $190.
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 Loma Linda University Medical Center-Murrieta 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.