CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Mosaic Life Care at St Joseph
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$80
about 0.4× the $224 Medicare rate · typically $12–$143
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $80 Cash price $234 Hospital's list price $275
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 | $7 - $388 | 3% |
| Blue Cross Blue Shieldmajor | $7 - $239 | 3% |
| Aetnamajor | $7 - $227 | 3% |
| Cignamajor | $33 - $242 | 15% |
| Ambetter (Centene) | $13 - $389 | 6% |
| Amerigroup | $17 | 8% |
| GEHA | $31 - $223 | 14% |
| HealthLink | $33 - $236 | 15% |
| Molina | $17 | 8% |
| SelectHealth | $33 - $236 | 15% |
| + 5 smaller / regional plans | $17 - $490 |
Government programs also on file: Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mosaic Life Care at St Joseph
Compare: Breathing treatment (nebulizer) at other MO hospitals
- Ste Genevieve County Memorial Hospital · Sainte Genevieve $21
- University Health Lakewood Medical Center · Kansas City $29
- St Lukes Hospital of Kansas City · Kansas City $42
- SSM Health Saint Louis University Hospital · Saint Louis $46
- SSM St Joseph Health Center · Saint Charles $53
- SSM St Clare Health Center · Fenton $53
- SSM Health Depaul Hospital St Louis · Bridgeton $53
- SSM St Joseph Hospital West · Lake Saint Louis $53
Insurance negotiated median for the same procedure, sorted lowest first.