CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Allen Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 0.4× the $224 Medicare rate · typically $28–$185
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Below the fair price — a good deal
about $35 under the fair price · 0.2× Medicare
Medicare pays $224 Fair price $81 This hospital $46 Cash price $188 Hospital's list price $235

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $24 Priciest $46

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breathing treatment (nebulizer) is about $81 (about 0.4× the $224 Medicare rate). Allen Hospital charges insurers about $46, or about $188 in cash — below the fair price — a good deal. Located in Waterloo, IA.

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 $7 - $554 3%
Blue Cross Blue Shieldmajor $7 - $191 3%
Aetnamajor $7 - $470 3%
Cignamajor $18 - $152 8%
Humanamajor $7 - $197 3%
Amerigroup $169 76%
HealthPartners $32 - $291 14%
Medica $111 - $124 50%
Molina $7 - $191 3%
+ 2 smaller / regional plans $7 - $197

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1825 Logan Avenue, Waterloo, IA 50703
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals