CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Sanford Bemidji Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$149
about 0.7× the $224 Medicare rate · typically $53–$208
modeled estimate · not a bill or quote
What this hospital charges insurers
$206
Above the fair price
about $57 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $149 This hospital $206 Cash price $168 Hospital's list price $210

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 $206

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 $149 (about 0.7× the $224 Medicare rate). Sanford Bemidji Medical Center charges insurers about $206, or about $168 in cash — above the fair price. Located in Bemidji, 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 $149. 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 $160 - $206 72%
Blue Cross Blue Shieldmajor $106 - $517 47%
Aetnamajor $172 - $206 77%
Cignamajor $189 84%
Health Net $189 84%
HealthPartners $147 - $206 66%
Medica $176 - $189 79%
Sanford Health Plan $96 - $190 43%
Security Health Plan $116 52%
UCare $148 - $214 66%
+ 2 smaller / regional plans $189 - $224
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (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: 1300 Anne St Nw, Bemidji, MN 56601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals