CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Promedica Monroe Regional Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$92
about 0.4× the $224 Medicare rate · typically $29–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
About the fair price
about $3 over the fair price · 0.4× Medicare
Medicare pays $224 Fair price $92 This hospital $95 Cash price $111 Hospital's list price $171

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $95

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

A fair price for a Breathing treatment (nebulizer) is about $92 (about 0.4× the $224 Medicare rate). Promedica Monroe Regional Hospital charges insurers about $95, or about $111 in cash — about the fair price. Located in Monroe, MI.

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✓ Humana CignaKaiser 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 $132 - $139 59%
Blue Cross Blue Shieldmajor $8 - $217 4%
Aetnamajor $8 - $217 4%
Humanamajor $8 - $224 4%
AmeriHealth $45 20%
Health Net $120 54%
Meridian $120 54%
Molina $130 58%
Paramount $8 - $212 4%
Priority Health $8 - $217 4%
+ 2 smaller / regional plans $8 - $221
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 718 N Macomb St, Monroe, MI 48162
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals