CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Middlesboro Arh Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$128
about 0.6× the $224 Medicare rate · typically $29–$155
modeled estimate · not a bill or quote
What this hospital charges insurers
$139
About the fair price
about $11 over the fair price · 0.6× Medicare
Medicare pays $224 Fair price $128 This hospital $139 Cash price $247 Hospital's list price $412

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 $139

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 $128 (about 0.6× the $224 Medicare rate). Middlesboro Arh Hospital charges insurers about $139, or about $247 in cash — about the fair price. Located in Middlesboro, KY.

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✓ Humana CignaKaiser 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 $139 - $307 62%
Blue Cross Blue Shieldmajor $76 - $360 34%
Aetnamajor $76 - $383 34%
Humanamajor $76 - $139 34%
Molina $76 34%
WellCare $103 - $139 46%
+ 1 smaller / regional plan $247

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3600 West Cumberland Avenue, Middlesboro, KY 40965
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals