CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: St Francis Hospital & Medical Center
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$104
about 0.5× the $224 Medicare rate · typically $30–$284
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $104 Cash price $225 Hospital's list price $409
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana
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 | $262 - $320 | 117% |
| Blue Cross Blue Shieldmajor | $257 - $912 | 115% |
| Aetnamajor | $242 - $303 | 108% |
| Cignamajor | $65 - $327 | 29% |
| Kaiser Permanentemajor | $912 | 408% |
| Dean Health Plan | $278 | 124% |
| GEHA | $320 | 143% |
| Harvard Pilgrim | $320 | 143% |
| HealthPartners | $65 | 29% |
| MagnaCare | $65 | 29% |
| MVP Health Care | $278 | 124% |
| Paramount | $278 | 124% |
| UniCare | $912 | 408% |
| + 31 smaller / regional plans | $65 - $912 |
Government programs also on file: Medicare.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Francis Hospital & Medical Center
Compare: Breathing treatment (nebulizer) at other CT hospitals
- Charlotte Hungerford Hospital · Torrington $89
- Midstate Medical Center · Meriden $89
- William W Backus Hospital · Norwich $89
- St Vincent's Medical Center · Bridgeport $89
- The Hospital of Central Connecticut · New Britain $89
- Windham Community Memorial Hospital · Willimantic $90
- Hartford Hospital · Hartford $90
- Bristol Hospital · Bristol $243
Insurance negotiated median for the same procedure, sorted lowest first.