CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Palmetto General Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$116
about 0.5× the $224 Medicare rate · typically $39–$237
modeled estimate · not a bill or quote
What this hospital charges insurers
$200
Above the fair price
about $84 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $116 This hospital $200 Cash price $628 Hospital's list price $628

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 $200

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 $116 (about 0.5× the $224 Medicare rate). Palmetto General Hospital charges insurers about $200, or about $628 in cash — above the fair price. Located in Hialeah, 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 $116. 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 - $628 17%
Aetnamajor $19 - $447 8%
Cignamajor $109 - $314 49%
Humanamajor $37 - $255 17%
Ambetter (Centene) $370 165%
AmeriHealth $430 192%
AvMed $170 - $410 76%
Bright Health $240 107%
Devoted Health $197 88%
Molina $381 170%
Oscar Health $114 51%
+ 31 smaller / regional plans $9 - $628
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 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: 2001 W 68Th St, Hialeah, FL 33016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals