CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: St Francis Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$174
about 0.8× the $224 Medicare rate · typically $42–$395
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
Below the fair price — a good deal
about $117 under the fair price · 0.3× Medicare
Medicare pays $224 Fair price $174 This hospital $57 Hospital's list price $463

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

Lowest price of the 4 DE hospitals we have prices for — a strong deal.

Cheapest $57 Priciest $308

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

A fair price for a Breathing treatment (nebulizer) is about $174 (about 0.8× the $224 Medicare rate). St Francis Hospital charges insurers about $57 — below the fair price — a good deal. Located in Wilmington, DE.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $444 198%
Blue Cross Blue Shieldmajor $57 - $7,253 25%
Aetnamajor $247 - $4,526 110%
Cignamajor $235 - $3,807 105%
AmeriHealth $449 - $7,253 201%
GEHA $444 198%
+ 5 smaller / regional plans $57 - $2,608
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals