CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Maple Grove Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$154
about 0.7× the $224 Medicare rate · typically $52–$202
modeled estimate · not a bill or quote
What this hospital charges insurers
$212
Above the fair price
about $58 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $154 This hospital $212 Cash price $182 Hospital's list price $346

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 $212

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 $154 (about 0.7× the $224 Medicare rate). Maple Grove Hospital charges insurers about $212, or about $182 in cash — above the fair price. Located in Maple Grove, 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 $154. 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.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $214 - $502 96%
Blue Cross Blue Shieldmajor $113 - $259 51%
Aetnamajor $224 - $260 100%
Cignamajor $393 176%
Humanamajor $206 92%
HealthPartners $143 - $393 64%
Medica $114 - $261 51%
UCare $206 - $376 92%
Government programs also on file: Medicare, Medicaid.
Excludes 3 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: 9875 Hospital Drive, Maple Grove, MN 55369
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals