CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Halifax Health Medical Center
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$168
about 0.8× the $224 Medicare rate · typically $52–$213
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $168 Cash price $98 Hospital's list price $123
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $29 - $534 | 13% |
| Blue Cross Blue Shieldmajor | $24 - $392 | 11% |
| Aetnamajor | $29 - $562 | 13% |
| Cignamajor | $204 | 91% |
| Humanamajor | $37 - $406 | 17% |
| AvMed | $29 - $445 | 13% |
| CareSource | $41 | 18% |
| Devoted Health | $88 - $212 | 39% |
| Health Net | $88 - $408 | 39% |
| Molina | $37 - $208 | 17% |
| Oscar Health | $37 - $534 | 17% |
| Simply Healthcare | $39 | 17% |
| WellCare | $204 | 91% |
| + 24 smaller / regional plans | $21 - $801 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Halifax Health Medical Center
Compare: Breathing treatment (nebulizer) at other FL hospitals
- Cleveland Clinic Indian River Hospital · Vero Beach $21
- Cleveland Clinic Hospital · Weston $23
- Fishermen's Community Hospital · Marathon $38
- Baycare Alliant Hospital Inc · Dunedin $43
- Jay Hospital · Jay $45
- Baptist Medical Center - Nassau · Fernandina Beach $47
- Baptist Health Medical Center - Jacksonville · Jacksonville $49
- Baptist Medical Center Beaches · Jacksonville Beach $49
Insurance negotiated median for the same procedure, sorted lowest first.