CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Trinity Health Oakland Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$86
about 0.4× the $224 Medicare rate · typically $17–$214
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
Below the fair price — a good deal
about $43 under the fair price · 0.2× Medicare
Medicare pays $224 Fair price $86 This hospital $43 Cash price $177 Hospital's list price $272

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

On the higher side — 6 of 8 other MI hospitals charge less.

Cheapest $21 Priciest $47

Black dot = this hospital, among the 9 MI 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 $86 (about 0.4× the $224 Medicare rate). Trinity Health Oakland Hospital charges insurers about $43, or about $177 in cash — below the fair price — a good deal. Located in Pontiac, MI.

What each insurance company pays

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

6 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 $204 - $225 91%
Blue Cross Blue Shieldmajor $17 - $214 8%
Aetnamajor $85 - $214 38%
Cignamajor $202 90%
Humanamajor $200 89%
Kaiser Permanentemajor $28 13%
AmeriHealth $200 89%
CareSource $43 19%
Dean Health Plan $185 83%
GEHA $170 - $204 76%
Health Net $272 122%
HealthPartners $198 89%
MagnaCare $200 89%
Medical Mutual $170 76%
Molina $284 127%
MVP Health Care $185 83%
Paramount $185 83%
Priority Health $170 - $189 76%
Tufts Health Plan $198 89%
UniCare $200 89%
+ 136 smaller / regional plans $16 - $503
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals