CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Sarasota Memorial Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$81
about 0.4× the $224 Medicare rate · typically $14–$216
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $81 Cash price $99 Hospital's list price $249
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 | $9 - $482 | 4% |
| Blue Cross Blue Shieldmajor | $7 - $229 | 3% |
| Aetnamajor | $9 - $514 | 4% |
| Cignamajor | $11 - $462 | 5% |
| Ambetter (Centene) | $20 - $617 | 9% |
| AmeriHealth | $8 - $45 | 4% |
| AvMed | $134 - $459 | 60% |
| Molina | $8 - $44 | 4% |
| Oscar Health | $13 - $15 | 6% |
| Simply Healthcare | $8 - $43 | 4% |
| WellCare | $8 - $240 | 4% |
| + 14 smaller / regional plans | $8 - $252 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Sarasota Memorial Hospital
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.