CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: SSM St Joseph Hospital West

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$166
about 0.7× the $224 Medicare rate · typically $43–$230
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
Below the fair price — a good deal
about $113 under the fair price · 0.2× Medicare
Medicare pays $224 Fair price $166 This hospital $53 Cash price $120 Hospital's list price $218

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 1 charge more and 4 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 St Joseph Hospital West charges insurers about $53, or about $120 in cash — below the fair price — a good deal. Located in Lake Saint Louis, MO.

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✓ Humana CignaKaiser 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 $223 100%
Blue Cross Blue Shieldmajor $19 - $223 8%
Aetnamajor $219 - $227 98%
Humanamajor $223 100%
Oscar Health $263 118%

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Facility Profile & Credentials

  • Address: 100 Medical Plaza, Lake Saint Louis, MO 63367
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals