CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Heywood Hospital -
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$221
about 1.0× the $224 Medicare rate · typically $32–$266
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $221 Cash price $226 Hospital's list price $226
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $359 | 160% |
| Blue Cross Blue Shieldmajor | $345 - $354 | 154% |
| Aetnamajor | $233 | 104% |
| Cignamajor | $372 | 166% |
| Harvard Pilgrim | $477 | 213% |
| Tufts Health Plan | $360 - $367 | 161% |
| + 2 smaller / regional plans | $233 - $349 |
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Other Procedures at Heywood Hospital -
Compare: Breathing treatment (nebulizer) at other MA hospitals
- Fairview Hospital · Great Barrington $24
- Berkshire Medical Center · Pittsfield $42
- Metrowest Medical Center · Framingham $139
- St Vincent Hospital · Worcester $171
- South Shore Hospital · South Weymouth $219
- Brigham and Women's Hospital · Boston $227
- Milford Regional Medical Center · Milford $235
- North Shore Medical Center - · Salem $237
Insurance negotiated median for the same procedure, sorted lowest first.