CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: North Shore Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$117
about 0.5× the $224 Medicare rate · typically $44–$238
modeled estimate · not a bill or quote
What this hospital charges insurers
$197
Above the fair price
about $80 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $117 This hospital $197 Cash price $966 Hospital's list price $966

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $197

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breathing treatment (nebulizer) is about $117 (about 0.5× the $224 Medicare rate). North Shore Medical Center charges insurers about $197, or about $966 in cash — above the fair price. Located in Miami, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $117. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $38 - $966 17%
Aetnamajor $29 - $695 13%
Cignamajor $168 - $483 75%
Humanamajor $37 - $385 17%
Ambetter (Centene) $370 165%
AmeriHealth $430 192%
AvMed $203 - $410 91%
Bright Health $240 107%
Devoted Health $197 88%
Molina $381 170%
Oscar Health $114 51%
+ 20 smaller / regional plans $9 - $966
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals