CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: McLaren Lapeer Region
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$72
about 0.3× the $224 Medicare rate · typically $12–$220
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $72 Cash price $61 Hospital's list price $122
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 | $21 - $159 | 9% |
| Blue Cross Blue Shieldmajor | $13 - $56 | 6% |
| Aetnamajor | $10 - $119 | 4% |
| Humanamajor | $8 - $198 | 4% |
| Priority Health | $11 - $96 | 5% |
| + 3 smaller / regional plans | $9 - $198 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at McLaren Lapeer Region
Compare: Breathing treatment (nebulizer) at other MI hospitals
- Munson Healthcare Otsego Memorial Hospital · Gaylord $21
- Munson Healthcare Cadillac Hospital · Cadillac $22
- Beaumont Hospital - Grosse Pointe · Grosse Pointe $24
- Holland Community Hospital · Holland $33
- Beaumont Hospital, Troy · Troy $41
- Trinity Health Ann Arbor Hospital · Ann Arbor $42
- Trinity Health Oakland Hospital · Pontiac $43
- Trinity Health Livingston Hospital · Howell $47
Insurance negotiated median for the same procedure, sorted lowest first.