CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Memorial Satilla Health

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $336
Cash Discount Price: $1,216
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Memorial Satilla Health is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,216. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.50x the Medicare baseline. Located in 1900 Tebeau Street, Waycross, GA.

Cash / Self-Pay

$1,216

Average discount available for prompt cash payment at this facility.

Insurance Median

$336

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: $1,216 (544%)

Insurance Median: $336 (150%)

Cash: $1,216 (544% of Medicare)

Ins. Median: $336 (150% 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
Ambetter / Centene	$76 - $187	34%
Amerigroup	$90 - $220	40%
Friday Health	$100 - $247	45%
Nhc Advantage	$127 - $312	57%
Pruitt Health	$127 - $312	57%
Peach State	$134 - $329	60%
Wellcare	$134 - $329	60%
Aetna	$144 - $907	64%
Cigna	$159 - $1,316	71%
Centurion	$185 - $455	83%
United	$201 - $740	90%
Health One Alliance	$308 - $756	138%
Value Option	$335 - $822	150%
Multiplan	$451 - $1,107	202%
Prime Health	$511	228%
Employer'S Health Network	$522	233%
Novanet	$603 - $1,480	270%

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 $1,216.
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 Memorial Satilla Health 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.