Breathing treatment (nebulizer)
Facility: Lower Keys Medical Center
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $246
- Cash Discount Price: $109
- vs. Medicare Baseline: 1.10x 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 |
|---|---|---|
| Veterans Eval Services | $7 | 3% |
| Florida Childrens Medical Services | $62 | 28% |
| Medicaid / KanCare | $62 - $69 | 28% |
| South Florida Community Care Network | $62 | 28% |
| UnitedHealthcare | $62 - $296 | 28% |
| Humana | $64 - $241 | 29% |
| Amerigroup | $69 | 31% |
| Positive Healthcare | $69 | 31% |
| Simply Healthcare | $69 - $119 | 31% |
| Wellcare | $69 | 31% |
| Wellcare Healthease | $69 | 31% |
| Molina | $70 | 31% |
| Prestige Health Choice | $72 | 32% |
| Magellan | $75 | 34% |
| Self Pay | $89 - $135 | 40% |
| Prime Health Work Comp Fl | $92 | 41% |
| Fl Work Comp | $95 | 42% |
| Heritage Summit Work Comp Fl | $95 | 42% |
| Blue Cross Blue Shield | $115 - $384 | 51% |
| Cigna | $194 - $227 | 87% |
| Aetna | $229 - $268 | 102% |
| Tricare | $233 | 104% |
| Medicare (plans) | $241 | 108% |
| Ultimate Health | $241 | 108% |
| Node Champva | $245 | 110% |
| Node Non Par Hospice Agree | $245 | 110% |
| Node United Behavioral Va Ccn | $245 | 110% |
| Node Va | $245 | 110% |
| Monroe County | $246 - $288 | 110% |
| Evolutions Healthcare Systems | $263 - $365 | 118% |
| Keys Energy | $263 - $307 | 118% |
| Prime Health Ppo | $263 - $307 | 118% |
| Correct Care Solutions | $269 | 120% |
| Avmed Health Plan | $279 - $327 | 125% |
| Node Us Dept Of Labor | $306 | 137% |
| Direct Healthcare | $329 - $384 | 147% |
| State Auto Insurance Fl | $490 | 219% |