CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Essentia Health Virginia
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$120
about 0.5× the $224 Medicare rate · typically $40–$216
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $120 Cash price $87 Hospital's list price $139
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 | $61 - $200 | 27% |
| Blue Cross Blue Shieldmajor | $31 - $520 | 14% |
| Aetnamajor | $59 - $178 | 26% |
| Cignamajor | $62 - $189 | 28% |
| HealthPartners | $27 - $200 | 12% |
| Medica | $16 - $200 | 7% |
| Sanford Health Plan | $30 - $360 | 13% |
| Security Health Plan | $53 - $200 | 24% |
| UCare | $45 - $200 | 20% |
| + 12 smaller / regional plans | $32 - $206 |
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Essentia Health Virginia
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.