CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Winn Parish Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $226
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Winn Parish Medical Center is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.01x the Medicare baseline. Located in 301 W Boundary Ave, Winnfield, LA.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$226

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: $83 (37%)
Insurance Median: $226 (101%)
Cash: $83 (37% of Medicare)
Ins. Median: $226 (101% 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.

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 $25 - $714 11%
Self Pay $28 - $214 13%
Medicaid / KanCare $29 - $249 13%
UnitedHealthcare $29 - $226 13%
Wellcare $29 - $226 13%
Humana $37 - $450 17%
Ima $46 - $357 21%
Multiplan Ppo $49 - $450 22%
Cigna $50 - $403 22%
Natl Assoc Of Letter Carr $50 - $714 22%
Ppoplus $55 - $428 25%
Zelis $55 - $428 25%
La Workers Comp Corp $83 - $643 37%
Workman'S Comp Op $83 - $643 37%
Aflac $92 - $714 41%
American Health Advantage $92 - $714 41%
American Retirement $92 - $714 41%
Amfirst $92 - $714 41%
Apwu Health Plan $92 - $714 41%
Attorney Claim $92 - $714 41%
Bankers Fidelity $92 - $714 41%
Commercial Miscellaneous $92 - $714 41%
Correct Care Integrated $92 - $714 41%
Fox Everett $92 - $714 41%
Gilsbar $92 - $714 41%
Guarantee Trust Life $92 - $714 41%
Heart Of Hospice $92 - $714 41%
Hospice Compassus $92 - $714 41%
Legacy Hospice $92 - $714 41%
Liberty Mutual $92 - $714 41%
Medico Insurance Company $92 - $714 41%
Meritain Health $92 - $714 41%
Miscellaneous $92 - $714 41%
Mutual Of Omaha $92 - $714 41%
New Era Life Ins $92 - $714 41%
Phcs $92 - $714 41%
Philadephia American $92 - $714 41%
Physicians Mutual $92 - $714 41%
Pipeline Ind Benefit Fund $92 - $714 41%
Rural Carrier Benefit $92 - $714 41%
Sentinel Security Life $92 - $714 41%
State Farm $92 - $714 41%
United American Ins $92 - $714 41%
United Of Omaha Life Ins $92 - $714 41%
Usaa Life Ins Co $92 - $714 41%
World Insurance Company $92 - $714 41%
Blue Cross Blue Shield $330 148%
Medicare (plans) $330 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W Boundary Ave, Winnfield, LA 71483
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals