CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Franklin General Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$48
about 0.2× the $224 Medicare rate · typically $11–$278
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $48 Cash price $93 Hospital's list price $103
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $52 - $107 | 23% |
| Blue Cross Blue Shieldmajor | $31 - $328 | 14% |
| Aetnamajor | $72 - $123 | 32% |
| Ambetter (Centene) | $32 - $382 | 14% |
| Amerigroup | $33 - $241 | 15% |
| Molina | $33 - $248 | 15% |
| Oscar Health | $77 - $358 | 34% |
| + 7 smaller / regional plans | $46 - $358 |
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Franklin General Hospital
Compare: Breathing treatment (nebulizer) at other IA hospitals
- Kossuth Regional Health Center · Algona $24
- Virginia Gay Hospital · Vinton $25
- Iowa Specialty Hospital - Belmond · Belmond $31
- Iowa Specialty Hospital - Clarion · Clarion $34
- Mercy Medical Center - Cedar Rapids · Cedar Rapids $38
- Unitypoint Health - Marshalltown · Marshalltown $40
- Grinnell Regional Medical Center · Grinnell $40
- University of Iowa Health Care Medical Center Down · Iowa City $42
Insurance negotiated median for the same procedure, sorted lowest first.