CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Moberly Regional Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $439
  • Cash Discount Price: $390
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Moberly Regional Medical Center is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $390. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.96x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$390

Average discount available for prompt cash payment at this facility.

Insurance Median
$439

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)
Cash / Self-Pay: $390 (174%)
Insurance Median: $439 (196%)
Cash: $390 (174% of Medicare)
Ins. Median: $439 (196% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Veterans Eval Services $7 3%
United Behavioral Health Mcd $118 - $368 53%
Self Pay $159 - $884 71%
Medicaid / KanCare $173 - $286 77%
Cigna $183 - $575 82%
Blue Cross Blue Shield $209 - $656 93%
Tricare $221 99%
Medicare (plans) $231 103%
Node Va $235 105%
UnitedHealthcare $235 - $1,409 105%
Node Devoted Health Mcr Adv $243 109%
Home State Health Plan $286 - $435 128%
Centurion Correctional $294 131%
Corizon $294 131%
Us Department Of Labor $294 131%
Pathway/Pathway X $303 135%
Access Health Services, Llc $382 - $1,197 171%
Aetna $387 - $1,473 173%
Healthscope Benefits $395 177%
Healthlink $412 - $1,473 184%
Blue Preferred $419 187%
Blue Traditional $420 - $1,377 188%
Multiplan Primary $441 - $1,381 197%
Naphcare $446 199%
Coventry Wc $470 - $1,473 210%
Multiplan $476 - $1,492 213%
Blue Access $995 445%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals