CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $39
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.17x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $93 (42%)
Insurance Median: $39 (17%)
Cash: $93 (42% of Medicare)
Ins. Median: $39 (17% 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.

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
Aetna $8 - $102 4%
Baycare $8 - $38 4%
Blue Cross Blue Shield $8 - $140 4%
Careplus $8 - $38 4%
Devoted $8 - $39 4%
Freedom Health $8 4%
Humana $8 - $121 4%
Optimum $8 4%
Evolutions $9 - $149 4%
Simply $10 4%
United Hc $10 - $186 4%
Avmed $11 - $112 5%
Health First $12 - $102 5%
Multiplan $12 - $149 5%
Cigna $20 - $112 9%
Molina $36 16%
Emerging Therapies $112 50%
UnitedHealthcare $112 50%
First Health $140 63%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12902 Magnolia Dr, Tampa, FL 33612
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL