CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Clarke County Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$40
about 0.2× the $224 Medicare rate · typically $11–$256
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $40 Cash price $96 Hospital's list price $128
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 | $8 - $126 | 4% |
| Blue Cross Blue Shieldmajor | $8 - $118 | 4% |
| Aetnamajor | $8 - $127 | 4% |
| Cignamajor | $93 - $127 | 42% |
| Humanamajor | $8 - $87 | 4% |
| HealthPartners | $8 - $127 | 4% |
| Molina | $17 - $77 | 8% |
| + 1 smaller / regional plan | $17 - $77 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Clarke County 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.