CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Westside Regional Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $209
Cash Discount Price: $1,271
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Westside Regional Medical Center is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,271. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.93x the Medicare baseline. Located in 8201 W Broward Blvd, Plantation, FL.

Cash / Self-Pay

$1,271

Average discount available for prompt cash payment at this facility.

Insurance Median

$209

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: $1,271 (568%)

Insurance Median: $209 (93%)

Cash: $1,271 (568% of Medicare)

Ins. Median: $209 (93% 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
Careworks (Rockport)	$19 - $108	8%
Corvel Corporation	$19 - $106	8%
Prime Health	$19 - $108	8%
Freedom Health	$36 - $340	16%
Optimum	$36 - $183	16%
Blue Cross Blue Shield	$42 - $480	19%
Simply Healthcare Plans	$54 - $276	24%
Simply Healthcare	$56 - $287	25%
Aetna	$58 - $637	26%
Oscar	$67 - $340	30%
Amerihealth Caritas	$71 - $361	32%
Molina	$71 - $573	32%
Avmed	$88 - $1,062	39%
Cigna	$88 - $446	39%
Humana	$88 - $722	39%
Health Sun Health Plan	$89 - $452	40%
Aids Healthcare	$92 - $2,549	41%
Mmm Of Fl (Health Advantage Plan)	$96 - $489	43%
United Ppo	$99 - $503	44%
Sunshine State Health Plan	$110 - $561	49%
United	$188 - $956	84%
Plotkin Health	$209 - $1,062	93%
Prime Health Sherriff	$209 - $1,062	93%
Medica Healthcare	$247 - $1,253	110%
Multiplan	$314 - $1,805	140%

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 $1,271.
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 Westside Regional Medical Center 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.