CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Borgess Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$117
about 0.5× the $224 Medicare rate · typically $42–$212
modeled estimate · not a bill or quote
What this hospital charges insurers
$201
Above the fair price
about $84 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $117 This hospital $201 Cash price $246 Hospital's list price $379

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 $201

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 $117 (about 0.5× the $224 Medicare rate). Borgess Medical Center charges insurers about $201, or about $246 in cash — above the fair price. Located in Kalamazoo, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $117. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $114 - $294 51%
Blue Cross Blue Shieldmajor $201 - $237 90%
Aetnamajor $114 - $294 51%
Humanamajor $201 90%
Devoted Health $76 - $211 34%
Meridian $201 - $379 90%
Molina $114 - $201 51%
Priority Health $114 - $345 51%
+ 3 smaller / regional plans $114 - $334

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1521 Gull Road, Kalamazoo, MI 49048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals