CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: HCA Florida South Tampa Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $33
Cash Discount Price: $157
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at HCA Florida South Tampa Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $157. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.15x the Medicare baseline. Located in 2901 W Swann Ave, Tampa, FL.

Cash / Self-Pay

$157

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)

Cash / Self-Pay: $157 (70%)

Insurance Median: $33 (15%)

Cash: $157 (70% of Medicare)

Ins. Median: $33 (15% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Access 2 Healthcare Physicians Freedom Optimum Group Members	$7 - $16	3%
Access 2 Healthcare Physicians Freedom Health	$11 - $25	5%
Access 2 Healthcare Physicians Optimum	$11 - $25	5%
Avmed	$12 - $86	5%
Freedom Health Care	$12 - $27	5%
Optimum Healthcare	$12 - $27	5%
Blue Cross Blue Shield	$13 - $72	6%
Truli	$13 - $42	6%
Corvel Corporation	$18 - $97	8%
Prime Health	$18 - $100	8%
Rockport Healthcare Group	$18 - $97	8%
Simply Healthcare	$19 - $53	8%
Oscar	$22 - $52	10%
Aetna	$24 - $103	11%
United	$24 - $155	11%
Cigna	$27 - $62	12%
Molina	$28 - $93	13%
Evolutions Healthcare Systems	$34 - $317	15%
Sunshine State Health Plan	$38 - $88	17%
Humana	$42 - $96	19%
Beacon Health Options	$75 - $172	34%
Plotkin Health	$75 - $172	34%
Prime Health Sheriff	$75 - $172	34%
Multiplan	$112 - $292	50%
Evernorth	$119 - $275	53%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $157.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 94640.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida South Tampa Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 94640.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.