CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Sarasota Memorial Hospital - Venice

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$122

about 0.5× the $224 Medicare rate · typically $37–$216

modeled estimate · not a bill or quote

What this hospital charges insurers

$106

Below the fair price — a good deal

about $16 under the fair price · 0.5× Medicare

Medicare pays $224 Fair price $122 This hospital $106 Cash price $95 Hospital's list price $239

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 $106

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $122 (about 0.5× the $224 Medicare rate). Sarasota Memorial Hospital - Venice charges insurers about $106, or about $95 in cash — below the fair price — a good deal. Located in North Venice, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$114 - $472	51%
Blue Cross Blue Shieldmajor	$204	91%
Aetnamajor	$106 - $503	47%
Ambetter (Centene)	$551	246%
AmeriHealth	$45	20%
AvMed	$134 - $459	60%
Molina	$44	20%
Simply Healthcare	$41 - $43	18%
WellCare	$214	96%
+ 6 smaller / regional plans	$43 - $225

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 95), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Sarasota Memorial Hospital - Venice is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sarasota Memorial Hospital - Venice

Compare: Breathing treatment (nebulizer) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.