CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Saint Joseph Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$135
about 0.6× the $224 Medicare rate · typically $40–$296
modeled estimate · not a bill or quote
What this hospital charges insurers
$89
Below the fair price — a good deal
about $46 under the fair price · 0.4× Medicare
Medicare pays $224 Fair price $135 This hospital $89 Cash price $67 Hospital's list price $135

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $26 Priciest $89

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

A fair price for a Breathing treatment (nebulizer) is about $135 (about 0.6× the $224 Medicare rate). Saint Joseph Hospital charges insurers about $89, or about $67 in cash — below the fair price — a good deal. Located in Lexington, KY.

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 $35 - $208 16%
Blue Cross Blue Shieldmajor $36 - $200 16%
Aetnamajor $35 - $206 16%
Cignamajor $81 - $109 36%
Humanamajor $34 - $200 15%
CareSource $400 179%
Molina $30 - $210 13%
WellCare $36 - $200 16%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals