CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Sanford Worthington Medical Center
Billing Code: 94640 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$130
about 0.6× the $224 Medicare rate · typically $90–$208
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $130 Cash price $136 Hospital's list price $170
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $68 - $263 | 30% |
| Blue Cross Blue Shieldmajor | $36 - $399 | 16% |
| Aetnamajor | $66 - $258 | 30% |
| Health Net | $73 - $284 | 33% |
| HealthPartners | $50 - $224 | 22% |
| Medica | $72 - $301 | 32% |
| Sanford Health Plan | $31 - $190 | 14% |
| Security Health Plan | $45 - $173 | 20% |
| UCare | $63 - $246 | 28% |
| + 2 smaller / regional plans | $73 - $284 |
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Sanford Worthington Medical Center
Compare: Breathing treatment (nebulizer) at other MN hospitals
- St Francis Medical Center · Breckenridge $20
- Fairview Bethesda Hospital · Saint Paul $27
- Range Regional Health Services · Hibbing $29
- M Health Fairview University of Mn Medical Center · Minneapolis $32
- Fairview Northland Regional Hospital · Princeton $32
- M Health Fairview Southdale Hospital · Edina $33
- M Health Fairview Ridges Hospital · Burnsville $33
- M Health Fairview St John's Hospital · Maplewood $33
Insurance negotiated median for the same procedure, sorted lowest first.