CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Murray-Calloway County Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $245
Cash Discount Price: $276
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Murray-Calloway County Hospital is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $276. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.10x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.

Cash / Self-Pay

$276

Average discount available for prompt cash payment at this facility.

Insurance Median

$245

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: $276 (123%)

Insurance Median: $245 (110%)

Cash: $276 (123% of Medicare)

Ins. Median: $245 (110% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Occunet - All Plans	$120	54%
Aetna	$143	64%
Blue Cross Blue Shield	$143 - $293	64%
Coventry Cares Of Ky - All Plans	$143	64%
Humana	$143 - $286	64%
Medicaid / KanCare	$143	64%
Passport Health - All Plans	$143	64%
Tricare	$205	92%
Triwest - All Plans	$205	92%
Wellcare Mcr Adv	$210	94%
UnitedHealthcare	$217	97%
Wellcare Health Plan Inc	$236	105%
Medben City Of Murray - All Other Plans	$254	114%
Center Care - All Plans	$305	136%
Bluegrass - All Plans	$318	142%
Three Rivers - All Plans	$339	152%
Medben Mcch Employees	$349	156%
First Health - All Plans	$382	171%
Healthsmart - All Plans	$382	171%
Multiplan - All Plans	$382	171%
Ambetter / Centene	$401	179%
Corvel Corporation - All Plans	$424	190%
Health Cost Solutions - All Plans	$514	230%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $276.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 94640.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Murray-Calloway County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 94640.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.