CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Nemours Children's Hospital, Delaware
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$105
about 0.5× the $224 Medicare rate · typically $11–$259
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $105 Cash price $1,049 Hospital's list price $1,049
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 | $385 - $655 | 172% |
| Blue Cross Blue Shieldmajor | $325 - $926 | 145% |
| Aetnamajor | $445 - $608 | 199% |
| Cignamajor | $577 - $661 | 258% |
| Ambetter (Centene) | $598 | 267% |
| AmeriHealth | $321 - $598 | 143% |
| Fidelis Care | $420 | 188% |
| Geisinger | $629 | 281% |
| HealthPartners | $407 | 182% |
| UPMC Health Plan | $415 | 185% |
| + 14 smaller / regional plans | $9 - $1,049 |
Government programs also on file: Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Nemours Children's Hospital, Delaware
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.