Breathing treatment (nebulizer)
Facility: Shands Jacksonville
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $251
- Cash Discount Price: $257
- vs. Medicare Baseline: 1.12x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $223.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $41 - $408 | 18% |
| Carelon Health | $45 | 20% |
| Humana | $45 - $421 | 20% |
| Simply Healthcare | $45 | 20% |
| Florida Community Care | $47 | 21% |
| Amerihealth Caritas Florida | $49 | 22% |
| Community Care Plan | $49 | 22% |
| Molina | $49 - $265 | 22% |
| Blue Cross Blue Shield | $130 - $971 | 58% |
| UnitedHealthcare | $184 - $407 | 82% |
| Volusia Health Network | $185 - $208 | 83% |
| Northeast Florida State Hospital | $194 - $218 | 87% |
| North Florida Evaluation & Treatment Center | $207 - $233 | 93% |
| Capital Health Plan | $220 - $248 | 98% |
| Positive Healthcare Partners | $225 - $252 | 101% |
| Ameri-Plus Preferred Care | $229 | 102% |
| Beacon Health Strategies | $236 | 105% |
| Careplus Health Plan | $236 | 105% |
| Florida Health Care Plan | $236 - $367 | 105% |
| Devoted Health Plan | $240 - $252 | 107% |
| Centivo | $242 - $273 | 108% |
| Avmed | $247 - $278 | 110% |
| Disney Cruise Line | $264 - $297 | 118% |
| Wellcare Of Florida | $268 | 120% |
| Cigna | $273 - $307 | 122% |
| Florida Complete Care | $286 | 128% |
| Health First Health Plan | $286 - $372 | 128% |
| Mental Health Associates | $286 - $322 | 128% |
| Prime Health Services | $308 - $372 | 138% |
| Florida Health Alliance | $317 - $357 | 142% |
| Archbold Medical Center | $330 - $372 | 148% |
| Genex | $330 - $372 | 148% |
| Rockport Provider | $330 - $372 | 148% |
| Wellpath | $337 | 151% |
| Ambetter / Centene | $339 | 152% |
| Corvel Corp | $374 - $421 | 167% |
| First Health | $374 - $421 | 167% |
| Florida Hospital Healthcare System | $374 - $421 | 167% |
| Medsave Usa Tpa | $374 - $421 | 167% |
| Truli For Health | $375 | 168% |
| Fringe Benefits Coordinators | $396 - $471 | 177% |
| Multiplan | $396 - $446 | 177% |
| Novanet | $396 - $446 | 177% |