CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Grady Memorial Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$235
about 1.0× the $224 Medicare rate · typically $55–$279
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $235 Cash price $732 Hospital's list price $732
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 | $8 - $546 | 4% |
| Blue Cross Blue Shieldmajor | $8 - $606 | 4% |
| Aetnamajor | $8 - $337 | 4% |
| Cignamajor | $8 - $448 | 4% |
| Humanamajor | $8 - $202 | 4% |
| Kaiser Permanentemajor | $8 - $574 | 4% |
| Ambetter (Centene) | $8 - $202 | 4% |
| Amerigroup | $17 - $123 | 8% |
| CareSource | $12 - $324 | 5% |
| Clover Health | $8 - $212 | 4% |
| Oscar Health | $11 - $493 | 5% |
| WellCare | $8 - $202 | 4% |
| + 1 smaller / regional plan | $8 - $212 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Grady Memorial Hospital
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.