CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Presence Saint Joseph Hospital - Chicago

Billing Code: 94640 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$254

about 1.1× the $224 Medicare rate · typically $88–$254

modeled estimate · not a bill or quote

What this hospital charges insurers

$228

Below the fair price — a good deal

about $26 under the fair price · 1.0× Medicare

Medicare pays $224 Fair price $254 This hospital $228 Cash price $146 Hospital's list price $443

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $228

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

A fair price for a Breathing treatment (nebulizer) is about $254 (about 1.1× the $224 Medicare rate). Presence Saint Joseph Hospital - Chicago charges insurers about $228, or about $146 in cash — below the fair price — a good deal. Located in Chicago, IL.

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	$212 - $286	95%
Blue Cross Blue Shieldmajor	$38 - $286	17%
Aetnamajor	$212 - $318	95%
Humanamajor	$212 - $233	95%
Ambetter (Centene)	$343	153%
Bright Health	$265	118%
+ 1 smaller / regional plan	$297

Government programs also on file: Medicare, Military & VA.

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 146), 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 Presence Saint Joseph Hospital - Chicago 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 Presence Saint Joseph Hospital - Chicago

Compare: Breathing treatment (nebulizer) at other IL hospitals

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