CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Clay County Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$64
about 0.3× the $224 Medicare rate · typically $10–$285
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $64 Cash price $195 Hospital's list price $195
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✓ Cigna HumanaKaiser 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 | $28 - $168 | 13% |
| Blue Cross Blue Shieldmajor | $16 - $154 | 7% |
| Aetnamajor | $8 - $166 | 4% |
| Cignamajor | $144 - $168 | 64% |
| Ambetter (Centene) | $49 - $57 | 22% |
| HealthLink | $117 - $168 | 52% |
| Medica | $49 - $130 | 22% |
| Meridian | $49 - $57 | 22% |
| WellCare | $49 - $57 | 22% |
| + 1 smaller / regional plan | $171 - $200 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Clay 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.