CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Ferrell Hospital Community Foundations

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $61
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 0.27x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Ferrell Hospital Community Foundations is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.27x the Medicare baseline. Located in 1201 Pine Street, Eldorado, IL.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $75 (34%)
Insurance Median: $61 (27%)
Cash: $75 (34% of Medicare)
Ins. Median: $61 (27% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $7 - $98 3%
Blue Cross Blue Shield $7 - $98 3%
Meridian Health Plan $7 - $44 3%
Molina Healthcare Of Illinois $7 - $44 3%
Cigna $8 - $98 4%
Health Alliance $27 - $98 12%
Humana $27 - $44 12%
UnitedHealthcare $27 - $105 12%
Wellcare $27 - $44 12%
Healthlink $61 - $105 27%
Healthsmart (Ihg) $61 - $98 27%
Hope Trust $61 - $98 27%
Multiplan/Phcs $61 - $98 27%
Zelis (Hfn) $61 - $98 27%
Sagamore $62 - $101 28%
Corvel $68 - $111 30%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1201 Pine Street, Eldorado, IL 62930
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals