CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Saint Joseph Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$218
about 1.0× the $224 Medicare rate · typically $19–$308
modeled estimate · not a bill or quote
What this hospital charges insurers
$203
About the fair price
about $15 under the fair price · 0.9× Medicare
Medicare pays $224 Fair price $218 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 $218 (about 1.0× the $224 Medicare rate). Saint Joseph Hospital charges insurers about $203 — about the fair price. Located in Denver, 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 - $585 128%
Aetnamajor $267 - $644 119%
Cignamajor $180 - $718 80%
Humanamajor $302 135%
Kaiser Permanentemajor $133 - $303 59%
GEHA $287 - $416 128%
SelectHealth $204 91%
+ 4 smaller / regional plans $180 - $539
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1375 E 19Th Ave, Denver, CO 80218
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals