CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Slidell Memorial Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $139
Cash Discount Price: $57
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Slidell Memorial Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.62x the Medicare baseline. Located in 1001 Gause Blvd, Slidell, LA.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $57 (25%)

Insurance Median: $139 (62%)

Cash: $57 (25% of Medicare)

Ins. Median: $139 (62% 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
Aetna	$30 - $229	13%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$30 - $52	13%
Healthy Blue (Healthy Louisiana)	$30 - $52	13%
Humana	$30 - $186	13%
Louisiana Healthcare Connections (Healthy Louisiana)	$30 - $52	13%
UnitedHealthcare	$30 - $530	13%
Blue Cross Blue Shield	$52 - $186	23%
First Health Network	$97 - $170	43%
Healthcomp & Personify Health (Formerly Gilsbar)	$109 - $191	49%
Claritev D/B/A Multiplan/Phcs/American Life Care	$146 - $255	65%
Medicaid / KanCare	$158 - $166	71%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$186	83%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$186	83%
Medicare (plans)	$186	83%
Ochsner Health Plan	$186	83%
Tricare	$186	83%
Louisiana Workers' Compensation Corporation (Lwcc)	$197 - $344	88%
Cigna	$218	97%

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 $57.
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 Slidell Memorial 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.