CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Mercy Hospital Southeast

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$212

about 0.9× the $224 Medicare rate · typically $67–$241

modeled estimate · not a bill or quote

What this hospital charges insurers

$220

About the fair price

about $8 over the fair price · 1.0× Medicare

Medicare pays $224 Fair price $212 This hospital $220 Cash price $162 Hospital's list price $249

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $220

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 $212 (about 0.9× the $224 Medicare rate). Mercy Hospital Southeast charges insurers about $220, or about $162 in cash — about the fair price. Located in Cape Girardeau, MO.

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	$195 - $1,312	87%
Blue Cross Blue Shieldmajor	$86 - $1,128	38%
Aetnamajor	$12 - $221	5%
Cignamajor	$242 - $446	108%
Humanamajor	$155 - $293	69%
Ambetter (Centene)	$195	87%
HealthLink	$124 - $430	55%
+ 26 smaller / regional plans	$118 - $430

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 162), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Southeast is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Southeast

Compare: Breathing treatment (nebulizer) at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.