Breathing treatment (nebulizer)
Facility: St Francis Hospital & Medical Center
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $284
- Cash Discount Price: $225
- vs. Medicare Baseline: 1.27x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Allegiance | $65 | 29% |
| Health Partners | $65 | 29% |
| Cigna | $65 - $327 | 29% |
| Magnacare | $65 | 29% |
| Health New England | $226 | 101% |
| Connecticare | $238 - $284 | 106% |
| Aetna | $242 - $303 | 108% |
| Connecticut Dept of Correction | $242 | 108% |
| Medicare (plans) | $257 - $270 | 115% |
| Blue Cross Blue Shield | $257 - $912 | 115% |
| Cca Senior Care Options | $262 | 117% |
| UnitedHealthcare | $262 - $320 | 117% |
| Christian Care Ministry | $278 | 124% |
| Pan-American Life | $278 | 124% |
| Manhattan Life | $278 | 124% |
| Paramount HMO | $278 | 124% |
| Multiplan | $278 | 124% |
| Mvp | $278 | 124% |
| Family Life Insurance Company | $278 | 124% |
| International Benefit Administrators | $278 | 124% |
| Allied National Global Care | $278 | 124% |
| Ghc Scw | $278 | 124% |
| Trinity Health Share | $278 | 124% |
| Asrm - Reliance Standard Life Insurance | $278 | 124% |
| Dean Health | $278 | 124% |
| PHCS | $278 | 124% |
| Medi Share | $278 | 124% |
| Pai | $278 | 124% |
| Lifetime Benefit Solutions | $278 | 124% |
| Prime Health Services | $286 | 128% |
| Gravie Admin Services | $303 | 135% |
| Meritain | $303 | 135% |
| Webtpa | $303 | 135% |
| 1199 National Benefit Fund | $303 | 135% |
| Luminare Health | $303 | 135% |
| Nippon Life Ins | $303 | 135% |
| Hap | $303 | 135% |
| Allied Benefit Systems | $303 | 135% |
| Geha | $320 | 143% |
| Harvard Pilgrim Healthcare | $320 | 143% |
| Fallon Health | $341 | 152% |
| Health Smart | $348 | 156% |
| Centivo | $525 | 235% |
| Innovative Health Plan II | $551 | 246% |
| Blue Shield - PA (Highmark) | $912 | 408% |
| Pre-Employment | $912 | 408% |
| Blue Shield - Ny Highmark Northeastern | $912 | 408% |
| Blue Shield - Id (Regence) | $912 | 408% |
| Blue Benefit Administrators of Massachusetts | $912 | 408% |
| Unicare | $912 | 408% |
| Blue Shield - Ca | $912 | 408% |
| Blue Care Network | $912 | 408% |
| Health Choices | $912 | 408% |
| Bcn Domestic | $912 | 408% |
| Wc Domestic | $912 | 408% |
| Blue Shield - Wa (Regence) | $912 | 408% |
| Blue Shield - Ny Highmark Western | $912 | 408% |
| Blue Distinction Transplant | $912 | 408% |
| Wellpoint | $912 | 408% |
| Kaiser Domestic | $912 | 408% |