CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Lutheran Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$215

about 1.0× the $224 Medicare rate · typically $17–$294

modeled estimate · not a bill or quote

What this hospital charges insurers

$203

About the fair price

about $12 under the fair price · 0.9× Medicare

Medicare pays $224 Fair price $215 This hospital $203 Hospital's list price $718

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $23 Priciest $203

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 $215 (about 1.0× the $224 Medicare rate). Lutheran Medical Center charges insurers about $203 — about the fair price. Located in Wheat Ridge, 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	$202 - $416	90%
Blue Cross Blue Shieldmajor	$286 - $603	128%
Aetnamajor	$267 - $644	119%
Cignamajor	$180 - $718	80%
Humanamajor	$302	135%
Kaiser Permanentemajor	$133 - $303	59%
GEHA	$287 - $416	128%
SelectHealth	$204	91%
+ 5 smaller / regional plans	$180 - $539

Excludes 4 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, 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 Lutheran 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 Lutheran Medical Center

Compare: Breathing treatment (nebulizer) at other CO hospitals

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