CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: San Luis Valley Regional Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$156

about 0.7× the $224 Medicare rate · typically $51–$226

modeled estimate · not a bill or quote

What this hospital charges insurers

$129

Below the fair price — a good deal

about $27 under the fair price · 0.6× Medicare

Medicare pays $224 Fair price $156 This hospital $129 Cash price $79 Hospital's list price $129

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

On the higher side — 7 of 8 other CO hospitals charge less.

Cheapest $23 Priciest $202

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $156 (about 0.7× the $224 Medicare rate). San Luis Valley Regional Medical Center charges insurers about $129, or about $79 in cash — below the fair price — a good deal. Located in Alamosa, CO.

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	$169 - $178	76%
Blue Cross Blue Shieldmajor	$170	76%
Aetnamajor	$26 - $169	12%
Cignamajor	$62 - $183	28%
Humanamajor	$174	78%
Kaiser Permanentemajor	$183 - $231	82%
Presbyterian	$520	232%
+ 11 smaller / regional plans	$13 - $183

Government programs also on file: Military & VA.

Excludes 3 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 79), 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 San Luis Valley Regional 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 San Luis Valley Regional Medical Center

Compare: Breathing treatment (nebulizer) at other CO hospitals

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