CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Mercyone Centerville Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $17
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 0.08x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Mercyone Centerville Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.08x the Medicare baseline. Located in One St Joseph's Drive, Centerville, IA.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)
Cash / Self-Pay: $50 (22%)
Insurance Median: $17 (8%)
Cash: $50 (22% of Medicare)
Ins. Median: $17 (8% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $5 - $85 2%
Aetna $6 - $285 3%
Align Senior Care $6 - $8 3%
Ally Align Care Adv $6 - $8 3%
American Health Advantage Of Idaho $6 - $8 3%
Aurora Special Needs $6 - $8 3%
Blue Care Network Advantage $6 - $8 3%
Blue Cross Blue Shield $6 - $87 3%
Blue Shield - De (Highmark) Medciare Advantage $6 - $8 3%
Care Dimensions $6 - $8 3%
Care Improvement Plus $6 - $8 3%
Care Resources Pace $6 - $8 3%
Careplus Health Plans $6 - $8 3%
Cca - Zing Health $6 - $8 3%
Cca Senior Care Options $6 - $8 3%
Central Valley Medical Services Corp Pace $6 - $8 3%
Champion Health Plan Mcr Advantage $6 - $8 3%
Champva $6 - $7 3%
Cigna $6 - $298 3%
Clear Spring Health $6 - $8 3%
Clover Health $6 - $8 3%
Commonwealth Care Alliance $6 - $8 3%
Community Pace At Home $6 - $8 3%
Eddy Senior Care-Pace $6 - $8 3%
Eddy Seniorcare Pace $6 - $8 3%
Elementcare $6 - $8 3%
Evercare $6 - $8 3%
Everence $6 - $8 3%
Gateway Health Plan $6 - $8 3%
Genesys Pace Of Genesee County $6 - $8 3%
Georgia Health Advantage $6 - $8 3%
Gold Advantage $6 - $8 3%
Gpa Croell Redi Mix $6 - $8 3%
Health America Advantra $6 - $8 3%
Highmark Health Options Dual Plan $6 - $8 3%
Hope Select Pace $6 - $8 3%
Horizon Nj Total Care $6 - $8 3%
Hudson Headwaters Pace $6 - $8 3%
Humana $6 - $17 3%
Huron Valley Pace $6 - $8 3%
Innovative Integrated Health Community Plans $6 - $8 3%
Johns Hopkins Advantage Md $6 - $8 3%
Lasso Healthcare Msa $6 - $8 3%
Life St Marys Pace $6 - $8 3%
Lifecircles Pace $6 - $8 3%
Longevity Health Plan $6 - $8 3%
Longevity Ipa Of Michigan Llc Health Plan Isnp $6 - $8 3%
Martins Point Generations Advantage $6 - $8 3%
Mass General Brigham Mcr Adv $6 - $8 3%
Medicare (plans) $6 - $92 3%
Medipak Advantage $6 - $8 3%
Mercy Life $6 - $8 3%
Mercyone Cedar Valley $6 - $8 3%
Meridian Complete $6 - $8 3%
Michigan Complete Health $6 - $8 3%
Nascentia Health Plus $6 - $8 3%
New Centry Health Careplus $6 - $8 3%
Osu Prime Care Advantage $6 - $8 3%
Pace Cny $6 - $8 3%
Pace Iowa Immanuel Pathways $6 - $8 3%
Pace Of Southwest Michigan $6 - $17 3%
Pace Southeast $6 - $8 3%
Pace-Trinity Health $6 - $8 3%
Peak Pace Solutions $6 - $8 3%
Perennial Advantage $6 - $8 3%
Preferred Care Partners $6 - $8 3%
Presbyterian Senior Plan $6 - $8 3%
Provider Partners Health Plan Of Illinois $6 - $8 3%
Provider Partners Health Plan Of Indiana $6 - $8 3%
Pruitthealth Premier $6 - $8 3%
Reliance Community Care Partners Care Resources Pace $6 - $8 3%
Rx Allwin $6 - $8 3%
Rx Grane Grnmedd $6 - $8 3%
Rx Retiree Rx Care $6 - $8 3%
Scan Health Plan Mcr Ipa Meritage Oon $6 - $8 3%
Secure Horizons Ma Pffs $6 - $8 3%
Serenity Pace $6 - $8 3%
Siouxland Pace $6 - $8 3%
Solis Health Plans $6 - $8 3%
Sunnyview-Pace Finance Dept $6 - $8 3%
Texan Plus $6 - $8 3%
The Health Plan $6 - $8 3%
Thome Pace $6 - $8 3%
Todays Options $6 - $8 3%
Tribute Health Plans $6 - $8 3%
Tricare $6 - $7 3%
Triwest Health Alliance $6 - $7 3%
Um Health Advantage $6 - $8 3%
Union Health Service $6 - $8 3%
UnitedHealthcare $6 - $304 3%
Us Family Health Plan $6 - $7 3%
Veterans Eval Services $6 - $7 3%
Welbe Health $6 - $8 3%
Wellmed $6 - $8 3%
American Health Plan $7 - $8 3%
Iowa Health Advantage $7 - $8 3%
Veterans Administration $7 - $8 3%
Wc Corvel $7 3%
Amps $8 - $10 4%
Amish Hospital Aid $9 - $117 4%
Stephenson Cty Health $9 4%
Ambetter / Centene $11 - $148 5%
Avera $11 - $13 5%
Medical Associates $11 - $232 5%
Health Smart $12 - $14 5%
Lucent Health $12 - $285 5%
Sanford Health Plan $12 - $14 5%
Health Partners $13 - $292 6%
Oscar $13 - $15 6%
Quiktrip $13 - $15 6%
Ucare $13 - $15 6%
Usa Managed Care $13 - $15 6%
Claimdoc $14 - $177 6%
The Alliance $14 - $16 6%
Albany County Correctional Facility $15 - $17 7%
Amish Mennonite $15 - $17 7%
Ascension St. Vincent Public Safety Medical $15 - $17 7%
Bcccp-Michigan $15 - $17 7%
Bccp $15 - $17 7%
Bcn Domestic $15 7%
Blue Benefit Administrators Of Massachusetts $15 7%
Blue Care Network $15 7%
Blue Distinction Transplant $15 7%
Blue Shield - Ca $15 7%
Blue Shield - Id (Regence) $15 7%
Blue Shield - Ny Highmark Northeastern $15 7%
Blue Shield - Ny Highmark Western $15 7%
Blue Shield - Pa (Highmark) $15 7%
Blue Shield - Wa (Regence) $15 7%
Bmc Healthnet $15 - $17 7%
Breast Grant-Connecticut $15 - $17 7%
Broward County Dept Of Health $15 - $17 7%
California Health And Wellness $15 - $17 7%
Can Community Health Inc $15 - $17 7%
Cardinal Innovations Lme $15 - $17 7%
Care Connections Of Northern Iowa $15 - $17 7%
Care Oregon Ohp $15 - $17 7%
Cencal Health Plan $15 - $17 7%
Cenpatico $15 - $17 7%
Centivo $15 7%
Chhuny $15 - $17 7%
Childrens Comm Health Plan $15 - $17 7%
Childrens Medical Services Title 19 $15 - $17 7%
City Of Philadelphia $15 - $17 7%
Cmh Allegan County $15 - $17 7%
Cmh Ausable Valley $15 - $17 7%
Cmh Barry County $15 - $17 7%
Cmh Bay-Arenac County $15 - $17 7%
Cmh Berrien County $15 - $17 7%
Cmh Cass County $15 - $17 7%
Cmh Central Mi County $15 - $17 7%
Cmh Clinton-Eaton-Ingham County $15 - $17 7%
Cmh Detroit Wayne Integrated Health Network $15 - $17 7%
Cmh Genesee County $15 - $17 7%
Cmh Ionia County $15 - $17 7%
Cmh Jackson County/Lifeways $15 - $17 7%
Cmh Kalamazoo $15 - $17 7%
Cmh Kent County $15 - $17 7%
Cmh Lenawee County $15 - $17 7%
Cmh Livingston County $15 - $17 7%
Cmh Macomb $15 - $17 7%
Cmh Misc $15 - $17 7%
Cmh Monroe County $15 - $17 7%
Cmh Montcalm County $15 - $17 7%
Cmh Muskegon County $15 - $17 7%
Cmh Newaygo County $15 - $17 7%
Cmh North Country $15 - $17 7%
Cmh Northern Lakes County $15 - $17 7%
Cmh Oakland County $15 - $17 7%
Cmh Ottawa County $15 - $17 7%
Cmh Van Buren County $15 - $17 7%
Cmh Washtenaw County $15 - $17 7%
Cmh Wayne County/Carelink $15 - $17 7%
Cmh Wayne Cty/Com Liv Svcs $15 - $17 7%
Cmh West Mi County $15 - $17 7%
Community Benefit Health $15 - $17 7%
Community Care Behavorial Health $15 - $17 7%
Community Care Partners $15 - $17 7%
Community Health Choice $15 - $17 7%
Connections Csp $15 - $17 7%
County Coroner $15 - $17 7%
County Funding Generic $15 - $17 7%
Covid19 Hrsa Uninsured Testing And Treatment Fund $15 - $17 7%
Dean Wi Badgercare $15 - $17 7%
Delaware County Department Of Health $15 - $17 7%
Delaware First Health $15 - $17 7%
Delta Dental Nj $15 - $17 7%
Dph Tb Program $15 - $17 7%
Dscc $15 - $17 7%
Eastpointe Lme $15 - $17 7%
Family Health Network $15 - $17 7%
Freedom First Healthcare $15 - $17 7%
Fresno County Ccs $15 - $17 7%
Ghc Scw Wi Badgercare $15 - $17 7%
Global Excel $15 - $18 7%
Harbor Health $15 - $17 7%
Health Choices $15 - $232 7%
Health Safety Net $15 - $17 7%
Healthy Blue Ne $15 - $17 7%
Hennepin Health $15 - $17 7%
Id County Ada $15 - $17 7%
Id County Canyon $15 - $17 7%
Id County Cat Fund $15 - $17 7%
Id County Other $15 - $17 7%
Id County Payette $15 - $17 7%
Idaho Dept Health And Wellfare $15 - $17 7%
Idaho Womens Health Check $15 - $17 7%
Indiana Breast Cervical Cancer $15 - $17 7%
Inland Empire Health Plan $15 - $17 7%
Intercommunity Health Ohp $15 - $17 7%
Iowa Total Care $15 - $84 7%
Jai Medical System $15 - $17 7%
Kaiser Domestic $15 7%
Kern Family Health Plan $15 - $17 7%
Keystone First $15 - $17 7%
Keystone First Chip $15 - $17 7%
La Care Health Plan $15 - $17 7%
Lakeland Care Inc $15 - $17 7%
Managed Health Services - Indiana $15 - $17 7%
Maryland Breast & Cervical Program $15 - $17 7%
Maryland Healthy Smiles - Scion Dental $15 - $17 7%
Maryland Physicians Care $15 - $17 7%
Massachusetts Behavioral Health Partnership $15 - $17 7%
Mdwise $15 - $17 7%
Medi-Cal $15 - $17 7%
Medi-Cal Healthnet $15 - $17 7%
Medstar Dc Healthy Family $15 - $17 7%
Medstar Md Health Choice $15 - $17 7%
Mo Home State Health Plan $15 - $17 7%
Molina Centennial Care $15 - $17 7%
Nascentia Health Options $15 - $17 7%
New York Cancer Services Program $15 - $17 7%
Nextlevel Health $15 - $17 7%
Oregon Screenwise $15 - $17 7%
Paramount Advantage $15 - $17 7%
Parkland Community Health Plan $15 - $17 7%
Partners Behavioral Lme $15 - $17 7%
Peach State Healthplan $15 - $17 7%
Philadelphia County Funding $15 - $17 7%
Pre-Employment $15 7%
Presbyterian Centennial Care $15 - $17 7%
Prestige Health Choice $15 - $17 7%
Priority Partners $15 - $17 7%
Robert F Sing Program $15 - $17 7%
Rx 340B Pass Along $15 - $17 7%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $15 - $17 7%
Rx Medi-Cal $15 - $17 7%
Rx Meridian Rx $15 - $17 7%
Ryan White Florida Mssrp $15 - $17 7%
Sandhills Center Lme $15 - $17 7%
Screening For Life $15 - $17 7%
St Joseph County Hlth Dpt $15 - $17 7%
Sunshine State Health Plan $15 - $17 7%
Superior Health $15 - $17 7%
Tenncare $15 - $17 7%
Texas Children'S Health Plan $15 - $17 7%
Trillium Community Ohp $15 - $17 7%
Tufts Health Public Plans $15 - $17 7%
Vaya Health Lme $15 - $17 7%
Washtenaw Health Plan $15 - $17 7%
Wc Domestic $15 7%
Wellpoint $15 - $18 7%
Wellsense Health Plan $15 - $17 7%
Wi Womens Wellness $15 - $17 7%
Velocity $16 - $18 7%
Meritain $20 - $285 9%
Nebraska Total Care $21 - $47 9%
Allied Benefit Systems $24 - $285 11%
Auxiant $24 - $298 11%
First Choice Health $24 11%
Group Administrators $24 11%
Midlands $24 - $298 11%
Midlands Choice $24 - $298 11%
Preferred One $24 - $28 11%
Multiplan $26 12%
Newton Correctional Facility $31 - $32 14%
Genex Wc $36 - $38 16%
Geha $37 - $266 17%
Wc Align Network $38 - $40 17%
Wc Praxis Health Network $40 - $42 18%
Wc Reny Company $41 - $44 18%
Wc Velocity $41 - $44 18%
Auto Velocity $43 - $45 19%
Wc O'Hara Corp $43 - $45 19%
Andrie Inc $47 - $50 21%
East Greenbush Central School District $47 - $50 21%
Healthsmart Workers Comp $47 - $50 21%
Iowa Dept Of Public Health $47 - $304 21%
Jag Source $47 - $50 21%
New York State Insurance Fund $47 - $50 21%
Njm Insurance Group $47 - $50 21%
Rx Heatlhcomp $47 - $50 21%
Rx Restat $47 - $50 21%
Rx Saif Opdp Wc $47 - $50 21%
Rx Worker'S Comp $47 - $50 21%
Wc Accident Fund $47 - $50 21%
Wc Ace $47 - $50 21%
Wc Acs Federal Employees $47 - $50 21%
Wc Acuity $47 - $50 21%
Wc Advantage $47 - $50 21%
Wc Aegis $47 - $50 21%
Wc Aig $47 - $50 21%
Wc Aims $47 - $50 21%
Wc Alaska National Ins $47 - $50 21%
Wc Allied $47 - $50 21%
Wc Am Trust N America $47 - $50 21%
Wc American Claims Mgmt $47 - $50 21%
Wc Amerisure $47 - $50 21%
Wc Amtrust $47 - $50 21%
Wc Asu Risk Mgt $47 - $50 21%
Wc Benetech $47 - $50 21%
Wc Berkley Admin $47 - $50 21%
Wc Broadspire $47 - $50 21%
Wc Broward County $47 - $50 21%
Wc Bunch & Associates $47 - $50 21%
Wc California State Comp Ins $47 - $50 21%
Wc California State Ins Fund $47 - $50 21%
Wc Capitol Area Health Consortium $47 - $50 21%
Wc Ccmsi $47 - $50 21%
Wc Chartis $47 - $50 21%
Wc Chubb $47 - $50 21%
Wc Cirma $47 - $50 21%
Wc City Of Albany $47 - $50 21%
Wc City Of Sioux City $47 - $50 21%
Wc Claims Mgmt Inc $47 - $50 21%
Wc Cna $47 - $50 21%
Wc Comp One Admin C/O Manageability $47 - $50 21%
Wc Compone Admin $47 - $50 21%
Wc Ct Healthcare Trust $47 - $50 21%
Wc Donegal Insurance Group $47 - $50 21%
Wc Emc Insurance Company $47 - $50 21%
Wc Employee Mutual $47 - $50 21%
Wc Enablecomp $47 - $50 21%
Wc Encore Health Network $47 - $50 21%
Wc Erie $47 - $50 21%
Wc Esis $47 - $50 21%
Wc Evolutions $47 - $50 21%
Wc Fcci $47 - $50 21%
Wc Fed Ex $47 - $50 21%
Wc Federal Black Lung $47 - $50 21%
Wc Federated $47 - $50 21%
Wc Finley Occupational Health $47 - $50 21%
Wc First Agency/Occunet $47 - $50 21%
Wc Ford Motor $47 - $50 21%
Wc Fresno Unified Emp $47 - $50 21%
Wc Gallagher Bassett $47 - $50 21%
Wc General Motors $47 - $50 21%
Wc Generic $47 - $50 21%
Wc Genex Care For Ohio $47 - $50 21%
Wc Great West Casualty $47 - $50 21%
Wc Guarantee Insurance $47 - $50 21%
Wc Guard Insurance Company $47 - $50 21%
Wc Hab $47 - $50 21%
Wc Hartford $47 - $50 21%
Wc Hastings $47 - $50 21%
Wc Health Management $47 - $50 21%
Wc Heritage Summit $47 - $50 21%
Wc Hireright $47 - $50 21%
Wc Horizon $47 - $50 21%
Wc Icw Group $47 - $50 21%
Wc Idaho State Ins Fund $47 - $50 21%
Wc Intercare Insurance $47 - $50 21%
Wc Intermountain $47 - $50 21%
Wc Johns Eastern $47 - $50 21%
Wc Kemberton $47 - $50 21%
Wc Key Ins & Benefit Solutions $47 - $50 21%
Wc Liberty Mutual $47 - $50 21%
Wc Mac Risk Management $47 - $50 21%
Wc Massachusetts $47 - $50 21%
Wc Mdia $47 - $50 21%
Wc Meadowbrook Claim $47 - $50 21%
Wc Medical Administrators $47 - $50 21%
Wc Meijers $47 - $50 21%
Wc Memic $47 - $50 21%
Wc Mercy Workcare $47 - $50 21%
Wc Michigan $47 - $50 21%
Wc Michigan Millers Mutual $47 - $50 21%
Wc Mitchell Frankenmuth $47 - $50 21%
Wc Mra $47 - $50 21%
Wc Nationwide $47 - $50 21%
Wc Nca Comp $47 - $50 21%
Wc New York $47 - $50 21%
Wc New York Special Funds $47 - $50 21%
Wc North American Rishces $47 - $50 21%
Wc Northeast Health $47 - $50 21%
Wc Notre Dame $47 - $50 21%
Wc Novanet $47 - $50 21%
Wc Occ Health Allen $47 - $50 21%
Wc Ohio Bureau $47 - $50 21%
Wc One Call Medical $47 - $50 21%
Wc Paradigm $47 - $50 21%
Wc Peerless $47 - $50 21%
Wc Pma $47 - $50 21%
Wc Price Chopper $47 - $50 21%
Wc Procura Management $47 - $50 21%
Wc Qualcare $47 - $50 21%
Wc Quiktrip $47 - $50 21%
Wc Rev Claims $47 - $50 21%
Wc Risico $47 - $50 21%
Wc Rural Mutual $47 - $50 21%
Wc Saif Oregon $47 - $50 21%
Wc Secura $47 - $50 21%
Wc Sedgwick $47 - $50 21%
Wc Sentry $47 - $50 21%
Wc Sheakley Unicomp $47 - $50 21%
Wc Smile Lodge $47 - $50 21%
Wc Society $47 - $50 21%
Wc Srs $47 - $50 21%
Wc Taconic (Mro) $47 - $50 21%
Wc Taconic Farms $47 - $50 21%
Wc Travelers $47 - $50 21%
Wc Triad Group $47 - $50 21%
Wc Tristar $47 - $50 21%
Wc Troy Ny $47 - $50 21%
Wc Tyson $47 - $50 21%
Wc Unified Health Services $47 - $50 21%
Wc United Heartland $47 - $50 21%
Wc Us Dept Of Labor $47 - $50 21%
Wc Walmart $47 - $50 21%
Wc West Bend $47 - $50 21%
Wc West Bend Mutual/Argent $47 - $50 21%
Wc Winnebago Industries $47 - $50 21%
Wc Yankee Trails $47 - $50 21%
Wc York Risk $47 - $50 21%
Wc Zenith $47 - $50 21%
Wc Zurich $47 - $50 21%
Nova $177 79%
1199 National Benefit Fund $285 127%
Asr Health Benefits $285 127%
Christian Brother Services $285 127%
Coventry $285 127%
First Health $285 127%
Luminare Health $285 127%
Medical Mutual $285 127%
Trustmark Small Business Benefits $285 127%
Webtpa $285 127%
Medica $298 133%
Crime Victim Assistance $304 136%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Joseph's Drive, Centerville, IA 52544
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals