CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Washington County Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$48
about 0.2× the $224 Medicare rate · typically $9–$238
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $48 Cash price $199 Hospital's list price $249
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 - $174 | 4% |
| Blue Cross Blue Shieldmajor | $7 - $149 | 3% |
| Aetnamajor | $7 - $193 | 3% |
| Cignamajor | $10 - $182 | 4% |
| Humanamajor | $8 - $112 | 4% |
| Ambetter (Centene) | $8 - $112 | 4% |
| HealthLink | $187 - $212 | 84% |
| Medica | $8 - $154 | 4% |
| Meridian | $7 - $112 | 3% |
| Molina | $7 - $112 | 3% |
| WellCare | $8 - $112 | 4% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Washington County Hospital
Compare: Breathing treatment (nebulizer) at other IL hospitals
- Fayette County Hospital · Vandalia $22
- Blessing Hospital · Quincy $23
- UW Health · Rockford $27
- John H Stroger Jr Hospital · Chicago $29
- Community Hospital of Staunton · Staunton $31
- Trinity Rock Island · Rock Island $48
- Crawford Memorial Hospital · Robinson $50
- Sarah Bush Lincoln Health Center · Mattoon $53
Insurance negotiated median for the same procedure, sorted lowest first.