CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Jefferson County Health Center
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$76
about 0.3× the $224 Medicare rate · typically $15–$289
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $76 Cash price $72 Hospital's list price $120
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $5 - $202 | 2% |
| Blue Cross Blue Shieldmajor | $443 | 198% |
| Aetnamajor | $7 - $202 | 3% |
| Humanamajor | $6 - $90 | 3% |
| Amerigroup | $6 - $90 | 3% |
| Molina | $6 - $224 | 3% |
| + 4 smaller / regional plans | $6 - $184 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Jefferson County Health Center
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.