CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Uchealth Yampa Valley Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $320
Cash Discount Price: $367
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Uchealth Yampa Valley Medical Center is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.43x the Medicare baseline. Located in 1024 Central Park Dr, Steamboat Springs, CO.

Cash / Self-Pay

$367

Average discount available for prompt cash payment at this facility.

Insurance Median

$320

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: $367 (164%)

Insurance Median: $320 (143%)

Cash: $367 (164% of Medicare)

Ins. Median: $320 (143% 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
Select Health	$25 - $204	11%
Aetna	$204 - $388	91%
Blue Cross Blue Shield	$204 - $383	91%
Cigna	$204 - $396	91%
Cms	$204	91%
Devoted Health	$204	91%
Humana	$204	91%
Kaiser	$204	91%
UnitedHealthcare	$204 - $344	91%
Rocky Mountain Health Plan	$317 - $396	142%
Simplified Benefits Administration	$322 - $354	144%
Multiplan/Phcs	$371	166%
First Health	$396	177%

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 $367.
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 Uchealth Yampa Valley 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.