CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: SSM Health Saint Louis University Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$166
about 0.7× the $224 Medicare rate · typically $38–$223
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Below the fair price — a good deal
about $120 under the fair price · 0.2× Medicare
Medicare pays $224 Fair price $166 This hospital $46 Cash price $129 Hospital's list price $235

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MO hospitals compared.

Cheapest $21 Priciest $65

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $166 (about 0.7× the $224 Medicare rate). SSM Health Saint Louis University Hospital charges insurers about $46, or about $129 in cash — below the fair price — a good deal. Located in Saint Louis, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $21 - $215 9%
Aetnamajor $219 - $224 98%
Humanamajor $223 100%
Ambetter (Centene) $222 99%
Oscar Health $263 118%
+ 1 smaller / regional plan $226

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Facility Profile & Credentials

  • Address: 1201 S Grand Blvd, Saint Louis, MO 63104
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals