CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Sanford Behavioral Health Center
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$130
about 0.6× the $224 Medicare rate · typically $24–$278
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $130 Cash price $122 Hospital's list price $152
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 - $235 | 27% |
| Blue Cross Blue Shieldmajor | $50 - $194 | 22% |
| Aetnamajor | $61 - $244 | 27% |
| Cignamajor | $132 - $253 | 59% |
| Health Net | $132 - $253 | 59% |
| HealthPartners | $61 - $228 | 27% |
| Medica | $129 - $266 | 58% |
| Sanford Health Plan | $56 - $177 | 25% |
| Security Health Plan | $81 - $155 | 36% |
| UCare | $60 - $247 | 27% |
| + 2 smaller / regional plans | $62 - $253 |
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 Behavioral Health 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.