CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$189

about 0.8× the $224 Medicare rate · typically $34–$369

modeled estimate · not a bill or quote

What this hospital charges insurers

$251

Above the fair price

about $62 over the fair price · 1.1× Medicare

Medicare pays $224 Fair price $189 This hospital $251 Cash price $172 Hospital's list price $264

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

On the higher side — 6 of 8 other ID hospitals charge less.

Cheapest $28 Priciest $275

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $189 (about 0.8× the $224 Medicare rate). Saint Alphonsus Medical Center - Nampa charges insurers about $251, or about $172 in cash — above the fair price. Located in Nampa, ID.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $189. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$232 - $238	104%
Blue Cross Blue Shieldmajor	$192 - $672	86%
Aetnamajor	$232 - $239	104%
Cignamajor	$300	134%
Humanamajor	$232	104%
Kaiser Permanentemajor	$251	112%
Dean Health Plan	$238	106%
GEHA	$232 - $238	104%
Health Net	$193	86%
HealthPartners	$238	106%
Moda Health	$224 - $459	100%
Molina	$558	249%
PacificSource	$158 - $193	71%
Paramount	$238	106%
Priority Health	$300	134%
SelectHealth	$179 - $238	80%
+ 41 smaller / regional plans	$69 - $672

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 172), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Saint Alphonsus Medical Center - Nampa is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Alphonsus Medical Center - Nampa

Compare: Breathing treatment (nebulizer) at other ID hospitals

Insurance negotiated median for the same procedure, sorted lowest first.