CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: University of Missouri Health Care

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$240

about 1.1× the $224 Medicare rate · typically $84–$254

modeled estimate · not a bill or quote

What this hospital charges insurers

$197

Below the fair price — a good deal

about $43 under the fair price · 0.9× Medicare

Medicare pays $224 Fair price $240 This hospital $197 Cash price $244 Hospital's list price $407

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 $197

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 $240 (about 1.1× the $224 Medicare rate). University of Missouri Health Care charges insurers about $197, or about $244 in cash — below the fair price — a good deal. Located in Columbia, 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	$109 - $260	49%
Blue Cross Blue Shieldmajor	$197 - $293	88%
Aetnamajor	$100 - $342	45%
Cignamajor	$314 - $377	140%
Humanamajor	$197	88%
Health Net	$295 - $355	132%
HealthLink	$240 - $289	107%
Medica	$13 - $129	6%
WellCare	$197	88%
+ 6 smaller / regional plans	$129 - $333

Excludes 1 rental-network / third-party entry (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 244), 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 University of Missouri Health Care 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 University of Missouri Health Care

Compare: Breathing treatment (nebulizer) at other MO hospitals

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