CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Essentia Health St Mary's Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$120
about 0.5× the $224 Medicare rate · typically $39–$219
modeled estimate · not a bill or quote
What this hospital charges insurers
$204
Above the fair price
about $84 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $120 This hospital $204 Cash price $138 Hospital's list price $209

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $20 Priciest $204

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

A fair price for a Breathing treatment (nebulizer) is about $120 (about 0.5× the $224 Medicare rate). Essentia Health St Mary's Medical Center charges insurers about $204, or about $138 in cash — above the fair price. Located in Duluth, MN.

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 $120. 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✓ Cigna HumanaKaiser 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 $153 - $204 68%
Blue Cross Blue Shieldmajor $30 - $338 13%
Aetnamajor $59 - $178 26%
Cignamajor $149 67%
HealthPartners $83 - $204 37%
Medica $69 - $204 31%
Sanford Health Plan $30 - $360 13%
Security Health Plan $53 - $204 24%
UCare $45 - $204 20%
+ 15 smaller / regional plans $34 - $206
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals