CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Saint Joseph Regional Medical Center - Plymouth
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$146
about 0.7× the $224 Medicare rate · typically $47–$309
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $146 Cash price $91 Hospital's list price $140
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 | $25 - $232 | 11% |
| Blue Cross Blue Shieldmajor | $25 - $818 | 11% |
| Aetnamajor | $91 - $359 | 41% |
| Cignamajor | $101 | 45% |
| AvMed | $126 | 56% |
| CareSource | $359 | 160% |
| Dean Health Plan | $126 | 56% |
| GEHA | $89 | 40% |
| Health Net | $101 - $108 | 45% |
| HealthPartners | $101 | 45% |
| Medical Mutual | $91 | 41% |
| Meridian | $232 | 104% |
| MVP Health Care | $101 | 45% |
| Paramount | $126 | 56% |
| Priority Health | $101 | 45% |
| + 53 smaller / regional plans | $25 - $818 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Saint Joseph Regional Medical Center - Plymouth
Compare: Breathing treatment (nebulizer) at other IN hospitals
- Memorial Hospital and Health Care Center · Jasper $21
- Harrison County Hospital · Corydon $21
- Hendricks Regional Health · Danville $22
- Ascension St Vincent Kokomo · Kokomo $25
- Henry County Memorial Hospital · New Castle $25
- Ascension St Vincent Anderson · Anderson $25
- Ascension St Vincent Evansville · Evansville $25
- St Vincent Heart Center · Carmel $25
Insurance negotiated median for the same procedure, sorted lowest first.