CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Mainehealth Pen Bay Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$90
about 0.4× the $224 Medicare rate · typically $19–$192
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $90 Cash price $174 Hospital's list price $174
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $9 - $244 | 4% |
| Blue Cross Blue Shieldmajor | $8 - $956 | 4% |
| Aetnamajor | $8 - $230 | 4% |
| Cignamajor | $68 - $207 | 30% |
| Humanamajor | $9 - $197 | 4% |
| Harvard Pilgrim | $15 - $223 | 7% |
| WellCare | $8 - $203 | 4% |
| + 1 smaller / regional plan | $16 - $208 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mainehealth Pen Bay Hospital
Compare: Breathing treatment (nebulizer) at other ME hospitals
- Northern Maine Medical Center · Fort Kent $58
- Penobscot Valley Hospital · Lincoln $66
- Redington Fairview General Hospital · Skowhegan $72
- Central Maine Medical Center · Lewiston $104
- Millinocket Regional Hospital · Millinocket $106
- Cary Medical Center · Caribou $217
Insurance negotiated median for the same procedure, sorted lowest first.