CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Bob Wilson Memorial Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $224
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Bob Wilson Memorial Hospital is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.00x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$224

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: $108 (48%)
Insurance Median: $224 (100%)
Cash: $108 (48% of Medicare)
Ins. Median: $224 (100% 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
Medicare (plans) $86 38%
Aetna $86 - $215 38%
Humana $86 38%
UnitedHealthcare $86 - $224 38%
Kansas Health $86 38%
Centura Employee Plan $134 60%
Multiplan $242 - $250 108%
Health Partners Of Kansas $253 113%
Wppa $255 114%
Blue Cross Blue Shield $339 152%

Consumer Guidance & Cost Commentary

For the CPT code 94640, representing a breathing treatment via nebulizer, the gross charge at Bob Wilson Memorial Hospital in Ulysses, KS, is $269.00. While the facility's cash median price is $108.00, which is significantly lower than the Medicare benchmark of $223.72, commercial insurance negotiated rates vary widely among the ten payers listed. For instance, Aetna, UnitedHealthcare, and Multiplan have negotiated ranges extending up to $250, whereas Medicare and Kansas Health have fixed rates of $86. Patients with high-deductible plans may find it financially advantageous to pay the cash price of $108.00 directly, as this amount is lower than the negotiated rates charged by several major insurers. It is important to note that while the facility is a Critical Access Hospital owned by a voluntary non-profit church, the specific negotiated rates depend entirely on the individual insurance plan's contract with the hospital.

To ensure you are not overcharged, it is recommended to request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you are an out-of-network patient receiving care at this in-network facility, the No Surprises Act generally protects you from balance billing for emergency and non-emergency services, though you should verify your specific situation with the billing department. Additionally, ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final amount owed by 20% to 50% if paid in full upfront, bypassing the administrative costs

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals