CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Essentia Health St Marys - Detroit Lakes
Billing Code: 94640 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$162
about 0.7× the $224 Medicare rate · typically $93–$240
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $162 Cash price $136 Hospital's list price $212
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 | $176 - $214 | 79% |
| Blue Cross Blue Shieldmajor | $94 - $644 | 42% |
| Aetnamajor | $178 - $182 | 80% |
| Cignamajor | $153 - $157 | 68% |
| HealthPartners | $81 - $214 | 36% |
| Medica | $133 - $214 | 59% |
| Sanford Health Plan | $90 - $360 | 40% |
| Security Health Plan | $214 | 96% |
| UCare | $138 - $214 | 62% |
| + 12 smaller / regional plans | $150 - $214 |
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.
Enter your details and press estimate to compare.
Other Procedures at Essentia Health St Marys - Detroit Lakes
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.