CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Graham County Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $111
  • Cash Discount Price: $330
  • vs. Medicare Baseline: 0.50x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Graham County Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $330. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.50x the Medicare baseline. Located in 304 West Prout Street, Hill City, KS.
Cash / Self-Pay
$330

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $330 (148%)
Insurance Median: $111 (50%)
Cash: $330 (148% of Medicare)
Ins. Median: $111 (50% 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
Celtic Commercial-All Other Plans $2 - $272 1%
Medicare (plans) $2 - $248 1%
Wppa (Providers Care)-All Plans $2 - $314 1%
UnitedHealthcare $2 - $314 1%
Blue Cross Blue Shield $41 18%
Medicaid / KanCare $111 50%

Consumer Guidance & Cost Commentary

For the CPT code 94640, "Breathing treatment (nebulizer)," Graham County Hospital in Hill City, KS, lists a cash price of $330.00, which matches the state average for this service. While Medicare covers this procedure at $223.72, commercial payers negotiate rates that vary significantly; for instance, Medicaid/KanCare and Blue Cross Blue Shield pay exactly $111.00, whereas UnitedHealthcare and Wppa (Providers Care) pay between $314.00 and $314.00. Because the cash price of $330.00 is lower than the negotiated rates for several major insurers, patients with high-deductible plans or those without insurance may save money by paying out-of-pocket directly, provided they confirm the facility's "self-pay" or "prompt-pay" discounts before scheduling.

It is important to note that the median amount paid by insurance for this service is $111.00, which is significantly lower than the cash price, yet still higher than the Medicare benchmark of $223.72 when adjusted for the facility's specific cost structure. The facility is a Critical Access Hospital owned by the local government, and while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still request an itemized bill to ensure no unbundled charges or services not rendered are included. If a patient receives a bill exceeding the cash price, they should verify the code details and dispute any errors in writing, as over 80% of hospital bills contain inaccuracies that can be corrected through a formal audit

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 304 West Prout Street, Hill City, KS 67642
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals