CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Mercy Medical Center-New Hampton
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$28
about 0.1× the $224 Medicare rate · typically $10–$205
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $28 Cash price $68 Hospital's list price $186
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 | $6 - $210 | 3% |
| Blue Cross Blue Shieldmajor | $6 - $120 | 3% |
| Aetnamajor | $6 - $287 | 3% |
| Cignamajor | $6 - $295 | 3% |
| Humanamajor | $6 - $17 | 3% |
| Kaiser Permanentemajor | $15 | 7% |
| Ambetter (Centene) | $11 - $204 | 5% |
| Clover Health | $6 - $8 | 3% |
| GEHA | $37 - $210 | 17% |
| Health Net | $15 - $68 | 7% |
| HealthPartners | $13 - $292 | 6% |
| Medica | $295 | 132% |
| Medical Mutual | $287 | 128% |
| Meridian | $6 - $17 | 3% |
| Molina | $15 - $17 | 7% |
| Oscar Health | $13 - $179 | 6% |
| Paramount | $15 - $17 | 7% |
| Presbyterian | $6 - $17 | 3% |
| Sanford Health Plan | $12 - $14 | 5% |
| Tufts Health Plan | $15 - $17 | 7% |
| UCare | $13 - $15 | 6% |
| WellMed | $6 - $8 | 3% |
| WellSense | $15 - $17 | 7% |
| + 361 smaller / regional plans | $6 - $304 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Medical Center-New Hampton
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.