CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Southern Regional Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$217

about 1.0× the $224 Medicare rate · typically $48–$262

modeled estimate · not a bill or quote

What this hospital charges insurers

$219

About the fair price

about $2 over the fair price · 1.0× Medicare

Medicare pays $224 Fair price $217 This hospital $219 Cash price $218 Hospital's list price $421

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $27 Priciest $219

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

A fair price for a Breathing treatment (nebulizer) is about $217 (about 1.0× the $224 Medicare rate). Southern Regional Medical Center charges insurers about $219, or about $218 in cash — about the fair price. Located in Riverdale, GA.

What each insurance company pays

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

5 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	$219	98%
Blue Cross Blue Shieldmajor	$142 - $219	63%
Aetnamajor	$13 - $219	6%
Cignamajor	$219 - $421	98%
Humanamajor	$16 - $214	7%
CareSource	$225 - $382	101%
Devoted Health	$225	101%
Oscar Health	$284	127%
WellCare	$229	102%
+ 8 smaller / regional plans	$219 - $328

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 6 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 218), 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 Southern Regional Medical Center 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 Southern Regional Medical Center

Compare: Breathing treatment (nebulizer) at other GA hospitals

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