Breathing treatment (nebulizer)
Facility: Hartford Hospital
Billing Code: 94640 (CPT)
This hospital's typical commercial price is $90 compared to the $86 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.05× fair market pricing.
A typical price — 2 charge more and 5 charge less, among the 9 CT hospitals compared.
Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.
A fair price for a Breathing treatment (nebulizer) is about $86 (about 0.4× the $224 Medicare rate). Hartford Hospital charges insurers about $90, or about $214 in cash — about the fair price. Located in Hartford, CT.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
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 | $89 | 40% |
| Blue Cross Blue Shieldmajor | $89 - $663 | 40% |
| Aetnamajor | $92 | 41% |
| Cignamajor | $310 | 139% |
| Molina | $89 | 40% |
| Tufts Health Plan | $89 | 40% |
| WellCare | $91 | 41% |
| + 1 smaller / regional plan | $89 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Hartford Hospital
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
- Bristol Hospital · Bristol $243
- John Dempsey Hospital of the University of Connect · Farmington $243
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Hartford Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $78
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $78).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Hartford Hospital's published 45 CFR § 180 self-pay cash rate is $214 (vs. $90 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $86 Fair BaseRate ($224 Medicare)
Your bill ($214) is $128 above the denoised Fair BaseRate ($86) and 1.0× the $224 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.