CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Three Rivers Medical Center
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$81
about 0.4× the $224 Medicare rate · typically $11–$488
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $81 Cash price $147 Hospital's list price $246
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 | $11 - $137 | 5% |
| Blue Cross Blue Shieldmajor | $11 - $220 | 5% |
| Aetnamajor | $11 - $221 | 5% |
| Cignamajor | $209 | 93% |
| Humanamajor | $11 - $165 | 5% |
| WellCare | $12 | 5% |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Three Rivers Medical Center
Compare: Breathing treatment (nebulizer) at other KY hospitals
- Taylor Regional Hospital · Campbellsville $26
- CHI Saint Joseph Berea Nf · Berea $31
- Saint Joseph Mount Sterling · Mount Sterling $32
- Cumberland County Hospital · Burkesville $41
- Ephraim McDowell Regional Medical Center · Danville $51
- Marshall County Hospital · Benton $52
- Jane Todd Crawford Hospital · Greensburg $63
- Saint Joseph Hospital · Lexington $89
Insurance negotiated median for the same procedure, sorted lowest first.