CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Ascension River District Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$94
about 0.4× the $224 Medicare rate · typically $19–$212
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $94 Cash price $64 Hospital's list price $115
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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 |
|---|---|---|
| Aetnamajor | $199 | 89% |
| Humanamajor | $201 | 90% |
| Ambetter (Centene) | $249 | 111% |
| AmeriHealth | $197 | 88% |
| Meridian | $79 | 35% |
| Molina | $209 - $249 | 93% |
| WellCare | $209 | 93% |
| + 8 smaller / regional plans | $20 - $379 |
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Ascension River District Hospital
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.