CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: St Vincent Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$190
about 0.8× the $224 Medicare rate · typically $26–$261
modeled estimate · not a bill or quote
What this hospital charges insurers
$171
About the fair price
about $19 under the fair price · 0.8× Medicare
Medicare pays $224 Fair price $190 This hospital $171 Cash price $773 Hospital's list price $1,031

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MA hospitals compared.

Cheapest $24 Priciest $237

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breathing treatment (nebulizer) is about $190 (about 0.8× the $224 Medicare rate). St Vincent Hospital charges insurers about $171, or about $773 in cash — about the fair price. Located in Worcester, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $326 - $364 146%
Health Net $16 7%
+ 1 smaller / regional plan $16
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 123 Summer Street, Worcester, MA 01608
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals