CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Christus St Frances Cabrini Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $213
Cash Discount Price: $166
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Christus St Frances Cabrini Hospital is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.95x the Medicare baseline. Located in 3330 Masonic Drive, Alexandria, LA.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$213

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: $166 (74%)

Insurance Median: $213 (95%)

Cash: $166 (74% of Medicare)

Ins. Median: $213 (95% 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
Amerihealth Caritas Louisiana	$77	34%
Healthy Blue Louisiana	$77	34%
Humana	$77 - $190	34%
Louisiana Healthcare Connections	$77	34%
UnitedHealthcare	$77 - $301	34%
Aetna	$83 - $459	37%
Triwest	$190	85%
Active Med	$193	86%
Arcadian Health Plan	$193	86%
Blue Cross Blue Shield	$193 - $543	86%
Christus Health	$193 - $271	86%
Coventry	$193	86%
Vantage Health Plan Inc.	$193 - $319	86%
Dignity Health	$199	89%
Peoples Health	$199	89%
Wellcare	$203	91%
Allyalign Health	$213	95%
Medicare (plans)	$213	95%
Cigna	$311	139%
Lsu First Choice Verity	$319	143%
Gilsbar, Inc.	$383	171%
Healthcare Highways	$383	171%
Verity Healthnet	$383	171%
Healthsmart	$415 - $510	185%
Ppoplus Llc	$415	185%
Five Point Credit Union	$447	200%
Multiplan	$447	200%
Phcs	$447	200%
Health Management Network	$510	228%
Provider Select	$510	228%
First Health	$542	242%
Verity Healthnet National	$542	242%

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 $166.
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 Christus St Frances Cabrini 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.