CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Jeff Davis Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $384
Cash Discount Price: $201
vs. Medicare Baseline: 1.72x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Jeff Davis Hospital is $384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.72x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$201

Average discount available for prompt cash payment at this facility.

Insurance Median

$384

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: $201 (90%)

Insurance Median: $384 (172%)

Cash: $201 (90% of Medicare)

Ins. Median: $384 (172% 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
Pen_Network	$11	5%
Medicaid / KanCare	$55 - $412	25%
Humana	$56 - $653	25%
Peach_State	$56 - $153	25%
Wellcare	$56 - $153	25%
Medicare (plans)	$88 - $240	39%
Blue Cross Blue Shield	$90 - $576	40%
Care_Improvement_Plus	$90 - $243	40%
Coventry_Hmo	$199 - $538	89%
Coventry_Pos	$199 - $538	89%
Uhc_Hmo	$213 - $576	95%
Uhc_Indemnity	$213 - $576	95%
Uhc_Ppo	$213 - $576	95%
Coventry_Ppo	$219 - $591	98%
Beech_Street	$227 - $614	101%
Care_Source	$227 - $614	101%
Cigna	$227 - $614	101%
One_Health_Ppo	$227 - $614	101%
Choicecare	$241 - $653	108%
Community_Care_Network	$241 - $653	108%
Georgia_Hospital_Network	$241 - $653	108%
Industry_Buying_Group	$241 - $653	108%
Novanet	$241 - $653	108%
Principal_Health_Care_Of_Georgia	$241 - $653	108%
Three_Rivers_Provider_Network	$241 - $653	108%
Usa_Managed_Care	$241 - $653	108%
Memorial_Health_Partners	$256 - $691	114%
Tricare	$264 - $714	118%
Multiplan	$270 - $730	121%

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 $201.
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 Jeff Davis Hospital 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.