CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: College Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $208
Cash Discount Price: $224
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at College Medical Center is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $224. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.93x the Medicare baseline. Located in 2776 Pacific Avenue, Long Beach, CA.

Cash / Self-Pay

$224

Average discount available for prompt cash payment at this facility.

Insurance Median

$208

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: $224 (100%)

Insurance Median: $208 (93%)

Cash: $224 (100% of Medicare)

Ins. Median: $208 (93% 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
Accountable Healthcare Ipa	$12 - $256	5%
Benevolence Healthcare	$12 - $256	5%
Blue Cross Blue Shield	$12 - $2,969	5%
Blue Shield	$12 - $256	5%
Brand New Day	$12 - $256	5%
Care First	$12 - $256	5%
Health Net	$12 - $307	5%
Heritage Provider Network	$12 - $358	5%
Kaiser	$12 - $307	5%
La Care	$12 - $256	5%
Molina Healthcare	$12 - $256	5%
Synermed	$12 - $358	5%
Aetna	$20 - $256	9%
Davita Healthplan	$76 - $236	34%
Healthcare Partners	$76 - $236	34%
UnitedHealthcare	$76 - $236	34%
Value Options	$76 - $236	34%
Cigna	$115 - $179	51%
Multiplan	$130 - $402	58%
Imperial Health Plan	$205	92%
Altamed	$256	114%
Caremore	$256	114%
Central Health Plan	$256	114%
Easy Choice	$256	114%
Prospect	$256	114%
Three Rivers Provider Network	$346	155%

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 $224.
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 College 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.