CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Glenwood Regional Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $746
Cash Discount Price: $1,433
vs. Medicare Baseline: 3.33x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Glenwood Regional Medical Center is $746. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,433. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 3.33x the Medicare baseline. Located in 503 McMillan Road, West Monroe, LA.

Cash / Self-Pay

$1,433

Average discount available for prompt cash payment at this facility.

Insurance Median

$746

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: $1,433 (641%)

Insurance Median: $746 (333%)

Cash: $1,433 (641% of Medicare)

Ins. Median: $746 (333% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 333% of the Medicare baseline (a markup of 233%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Dignity Care Health Plan	$8 - $195	4%
Medicaid / KanCare	$121	54%
UnitedHealthcare	$121 - $1,433	54%
Humana	$171 - $989	76%
Medicare (plans)	$177 - $195	79%
Caresact	$180	80%
Hospice	$180	80%
Patients Choice Hospice	$180	80%
Tricare	$180	80%
Self Pay Emergent	$215	96%
Cigna	$261	117%
Insyss	$301	135%
Ford Beacon Davis	$355	159%
Texas Workers Compensation	$360	161%
Blue Cross Blue Shield	$462	207%
Vantage Health Plan	$521	233%
Coventry Healthcare	$619 - $633	277%
Ppo Plus	$746 - $1,003	333%
Verity Healthnet Inc	$817	365%
Aetna	$931	416%
Iasis Employees	$967	432%
Gilsbar 360 Alliance	$1,003	448%
Three Rivers Provider Network	$1,218	544%
Verity Healthnet	$1,218	544%
Galaxy Health Network	$1,289	576%
Louisiana Workers Compensation	$1,289	576%
Commercial Non-Contracted	$1,433	641%
Medsolutions	$1,433	641%
Mhnet	$1,433	641%
Self Pay - Mcd Pending 100 Percent	$1,433	641%
Single Case Agreement	$1,433	641%

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 $1,433.
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 Glenwood Regional Medical Center 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.