CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Hancock Regional Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$92

about 0.4× the $224 Medicare rate · typically $16–$291

modeled estimate · not a bill or quote

What this hospital charges insurers

$276

Well above the fair price

about $184 over the fair price · 1.2× Medicare

Medicare pays $224 Fair price $92 This hospital $276 Cash price $221 Hospital's list price $276

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $21 Priciest $276

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

A fair price for a Breathing treatment (nebulizer) is about $92 (about 0.4× the $224 Medicare rate). Hancock Regional Hospital charges insurers about $276, or about $221 in cash — well above the fair price. Located in Greenfield, IN.

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 $92. 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.

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	$214 - $276	96%
Blue Cross Blue Shieldmajor	$158 - $276	71%
Aetnamajor	$210 - $276	94%
Cignamajor	$221	99%
Humanamajor	$239 - $262	107%
Ambetter (Centene)	$463	207%
CareSource	$236 - $579	105%
Health Net	$262	117%
UniCare	$243	109%
+ 23 smaller / regional plans	$207 - $828

Government programs also on file: Military & VA.

Excludes 7 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 221), 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 Hancock Regional Hospital 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 Hancock Regional Hospital

Compare: Breathing treatment (nebulizer) at other IN hospitals

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