CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Phoebe Sumter Medical Center
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$163
about 0.7× the $224 Medicare rate · typically $69–$243
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $163 Cash price $22 Hospital's list price $36
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $196 - $297 | 88% |
| Ambetter (Centene) | $336 | 150% |
| Clover Health | $198 | 89% |
| + 2 smaller / regional plans | $201 - $278 |
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Other Procedures at Phoebe Sumter Medical Center
Compare: Breathing treatment (nebulizer) at other GA hospitals
- Navicent Health Baldwin · Milledgeville $27
- Bleckley Memorial Hospital · Cochran $27
- Atrium Health Navicent the Medical Center · Macon $31
- Atrium Health Navicent Rehabilitation Hopsital · Macon $31
- Putnam General Hospital · Eatonton $37
- Liberty Regional Medical Center · Hinesville $38
- Emanuel Medical Center · Swainsboro $65
- Chatuge Regional Hospital · Hiawassee $73
Insurance negotiated median for the same procedure, sorted lowest first.