CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Trinity Health Ann Arbor Hospital
Billing Code: 94640 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 94640
- Insurance Median: $209
- Cash Discount Price: $18,388
- vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Trinity Health Ann Arbor Hospital is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,388. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.93x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$18,388
Average discount available for prompt cash payment at this facility.
Insurance Median
$209
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$223.72
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $223.72 (100%)
Cash / Self-Pay: $18,388 (8219%)
Insurance Median: $209 (93%)
Cash: $18,388 (8219% of Medicare)
Ins. Median: $209 (93% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $223.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| U Of M Health Plan | $16 | 7% |
| Blue Cross Blue Shield | $21 - $12,584 | 9% |
| Bcn Domestic | $33 | 15% |
| Blue Benefit Administrators Of Massachusetts | $33 | 15% |
| Blue Care Network | $33 | 15% |
| Blue Distinction Transplant | $33 | 15% |
| Blue Shield - Ca | $33 | 15% |
| Blue Shield - Id (Regence) | $33 | 15% |
| Blue Shield - Ny Highmark Northeastern | $33 | 15% |
| Blue Shield - Ny Highmark Western | $33 | 15% |
| Blue Shield - Pa (Highmark) | $33 | 15% |
| Blue Shield - Wa (Regence) | $33 | 15% |
| Health Choices | $33 - $209 | 15% |
| Kaiser Domestic | $33 | 15% |
| Asr Health Benefits | $42 | 19% |
| Caresource | $42 | 19% |
| Hap | $42 - $209 | 19% |
| Varipro | $42 | 19% |
| Point Comfort Underwriters | $68 | 30% |
| Wc Accident Fund | $79 | 35% |
| Wc Advantage | $79 | 35% |
| Wc Aig | $79 | 35% |
| Wc Allied | $79 | 35% |
| Wc Amerisure | $79 | 35% |
| Wc Amtrust | $79 | 35% |
| Wc Asu Risk Mgt | $79 | 35% |
| Wc Berkley Admin | $79 | 35% |
| Wc Broadspire | $79 | 35% |
| Wc Bunch & Associates | $79 | 35% |
| Wc Ccmsi | $79 | 35% |
| Wc Emc Insurance Company | $79 | 35% |
| Wc Esis | $79 | 35% |
| Wc Fcci | $79 | 35% |
| Wc Federated | $79 | 35% |
| Wc Gallagher Bassett | $79 | 35% |
| Wc Genex Care For Ohio | $79 | 35% |
| Wc Guard Insurance Company | $79 | 35% |
| Wc Hartford | $79 | 35% |
| Wc Liberty Mutual | $79 | 35% |
| Wc Meijers | $79 | 35% |
| Wc Michigan | $79 | 35% |
| Wc Mitchell Frankenmuth | $79 | 35% |
| Wc Pma | $79 | 35% |
| Wc Sedgwick | $79 | 35% |
| Wc Sentry | $79 | 35% |
| Wc Travelers | $79 | 35% |
| Wc Tristar | $79 | 35% |
| Wc Walmart | $79 | 35% |
| Wc Zurich | $79 | 35% |
| Aetna | $102 - $12,584 | 46% |
| Medicaid / KanCare | $122 - $7,312 | 55% |
| Acs Benefit Services | $127 | 57% |
| Allied Benefit Systems | $127 | 57% |
| Claimchoice Adminstrators | $127 | 57% |
| Consociate | $127 | 57% |
| Cypress Benefit Administrators | $127 | 57% |
| Forest County Potawatomi | $127 | 57% |
| Health Smart | $127 | 57% |
| Healthgram | $127 | 57% |
| Healthscope | $127 | 57% |
| Secureone Preferred United Plans | $127 | 57% |
| Sisco Benefits | $127 | 57% |
| The Health Plan | $127 | 57% |
| Trustmark Small Business Benefits | $127 | 57% |
| Unified Group Services | $127 | 57% |
| Webtpa | $127 | 57% |
| Geha | $152 - $199 | 68% |
| Meritain | $152 | 68% |
| Priority Health | $182 - $202 | 81% |
| UnitedHealthcare | $199 - $13,227 | 89% |
| Huron Valley Pace | $208 - $12,199 | 93% |
| 1199 National Benefit Fund | $209 | 93% |
| Access Health | $209 | 93% |
| Acclaim | $209 | 93% |
| Administrative Concepts | $209 | 93% |
| Allegeant | $209 | 93% |
| Allied National Global Care | $209 | 93% |
| Ameriben | $209 | 93% |
| American Family | $209 | 93% |
| American Healthcare Alliance | $209 | 93% |
| American National | $209 | 93% |
| American Republic | $209 | 93% |
| Amerihealth | $209 | 93% |
| Asrm - Reliance Standard Life Insurance | $209 | 93% |
| Aultcare | $209 | 93% |
| Automated Benefit Services | $209 | 93% |
| Auxiant | $209 | 93% |
| Benefit Administrative Systems,Llc | $209 | 93% |
| Boon Chapman | $209 | 93% |
| Cam Administrative Services | $209 | 93% |
| Christian Brother Services | $209 | 93% |
| Christian Brothers Holy Cross | $209 | 93% |
| Christian Care Ministry | $209 | 93% |
| Comprehensive Benefits | $209 | 93% |
| Continental Life Insurance | $209 | 93% |
| Coventry | $209 | 93% |
| Custom Benefit Administrators | $209 | 93% |
| Dean Health | $209 | 93% |
| Employee Benefit Concepts | $209 | 93% |
| Employee Benefit Management | $209 | 93% |
| Enterprise Group Planning | $209 | 93% |
| Fallon Health | $209 | 93% |
| Family Life Insurance Company | $209 | 93% |
| Freedom Life Insurance Company | $209 | 93% |
| Ghc Scw | $209 | 93% |
| Group Administrators | $209 | 93% |
| Group Marketing Services | $209 | 93% |
| Group Pension Administrators | $209 | 93% |
| Guardian | $209 | 93% |
| Health America | $209 | 93% |
| Health Partners | $209 | 93% |
| Healthcare Management Admin | $209 | 93% |
| Healthez | $209 | 93% |
| Humana | $209 | 93% |
| Insight | $209 | 93% |
| Intercare | $209 | 93% |
| International Benefit Administrators | $209 | 93% |
| Jfp Benefit Management | $209 | 93% |
| Jp Farley Corporation | $209 | 93% |
| Key Benefit Administrator | $209 | 93% |
| Liberty Union Life Assurance Co | $209 | 93% |
| Lifetime Benefit Solutions | $209 | 93% |
| Lucent Health | $209 | 93% |
| Luminare Health | $209 | 93% |
| Luminare Health (Detroit) | $209 | 93% |
| Magnacare | $209 | 93% |
| Manhattan Life | $209 | 93% |
| Medben | $209 | 93% |
| Medcost | $209 | 93% |
| Medi Share | $209 | 93% |
| Medical Mutual | $209 | 93% |
| Multiplan | $209 | 93% |
| Mutual Health Services | $209 | 93% |
| Mutual Of Omaha | $209 | 93% |
| Mvp | $209 | 93% |
| Ncas | $209 | 93% |
| Nippon Life Ins | $209 | 93% |
| Nova | $209 | 93% |
| Pai | $209 | 93% |
| Painters Union Insurance Fund | $209 | 93% |
| Pan-American Life | $209 | 93% |
| Paramount Hmo | $209 | 93% |
| Phcs | $209 | 93% |
| Physicians Mutual | $209 | 93% |
| Plumbers Local 98 Insurance Fund | $209 | 93% |
| Prairie States | $209 | 93% |
| Preferred One | $209 | 93% |
| Primary Physician Care | $209 | 93% |
| Professional Benefit Administrators | $209 | 93% |
| Siho Insurance Services | $209 | 93% |
| The Loomis Company | $209 | 93% |
| Trinity Health Share | $209 | 93% |
| Tufts Health Plan | $209 | 93% |
| Unicare | $209 | 93% |
| Us Health And Life | $209 | 93% |
| Valenz | $209 | 93% |
| Western & Southern Financial Group | $209 | 93% |
| Wps | $209 | 93% |
| Cigna | $211 | 94% |
| Blue Care Network Advantage | $215 - $12,584 | 96% |
| First Health | $215 | 96% |
| Medicare (plans) | $215 - $12,841 | 96% |
| Prime Health Services | $218 | 97% |
| Align Senior Care | $219 - $12,841 | 98% |
| Angela Hospice | $219 - $12,841 | 98% |
| Hospice Advantage | $219 - $12,841 | 98% |
| Cca - Zing Health | $232 - $13,591 | 104% |
| Correctional Healthcare Consultants | $244 | 109% |
| Three Rivers Provider Network | $245 | 110% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $247 - $14,472 | 110% |
| Bcccp-Michigan | $272 | 122% |
| Cmh Detroit Wayne Integrated Health Network | $272 | 122% |
| Cmh Lenawee County | $272 | 122% |
| Cmh Livingston County | $272 | 122% |
| Cmh Misc | $272 | 122% |
| Cmh Monroe County | $272 | 122% |
| Cmh Washtenaw County | $272 | 122% |
| Crime Victim Assistance | $272 | 122% |
| Molina Marketplace | $285 - $16,694 | 127% |
| Health Cost Solutions | $339 - $19,904 | 152% |
| Vitalcore | $339 - $19,904 | 152% |
| Wellpath | $339 - $19,904 | 152% |
| Employee Benefit Logistic | $493 | 220% |