CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Medstar Washington Hospital Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$235
about 1.0× the $224 Medicare rate · typically $76–$284
modeled estimate · not a bill or quote
What this hospital charges insurers
$266
About the fair price
about $31 over the fair price · 1.2× Medicare
Medicare pays $224 Fair price $235 This hospital $266 Cash price $320 Hospital's list price $492

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Highest price of the 4 DC hospitals we have prices for — worth calling around.

Cheapest $39 Priciest $266

Black dot = this hospital, among the 4 DC hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $235 (about 1.0× the $224 Medicare rate). Medstar Washington Hospital Center charges insurers about $266, or about $320 in cash — about the fair price. Located in Washington, DC.

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 $143 - $1,226 64%
Blue Cross Blue Shieldmajor $73 - $259 33%
Aetnamajor $266 - $315 119%
Cignamajor $294 131%
Humanamajor $272 122%
Kaiser Permanentemajor $110 - $272 49%
Amerigroup $125 56%
AmeriHealth $125 56%
+ 3 smaller / regional plans $125 - $1,006
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 110 Irving Street Nw, Washington, DC 20010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals