CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: PAM Rehabilitation Hospital of Dover
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$61
about 0.3× the $224 Medicare rate · typically $9–$188
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $61 Cash price $134 Hospital's list price $134
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 | $55 - $94 | 25% |
| Blue Cross Blue Shieldmajor | $8 - $186 | 4% |
| Aetnamajor | $12 | 5% |
| Cignamajor | $120 | 54% |
| + 4 smaller / regional plans | $8 - $144 |
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at PAM Rehabilitation Hospital of Dover
Compare: Breathing treatment (nebulizer) at other DE hospitals
- St Francis Hospital · Wilmington $57
- Tidalhealth Nanticoke, Inc. · Seaford $108
- Bayhealth Hospital, Sussex Campus · Milford $298
- Bayhealth Medical Center, Kent Campus · Dover $308
Insurance negotiated median for the same procedure, sorted lowest first.