CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Memorial Hospital Biloxi

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $220
Cash Discount Price: $248
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Memorial Hospital Biloxi is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $248. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.98x the Medicare baseline. Located in 150 Reynoir Street, Biloxi, MS.

Cash / Self-Pay

$248

Average discount available for prompt cash payment at this facility.

Insurance Median

$220

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: $248 (111%)

Insurance Median: $220 (98%)

Cash: $248 (111% of Medicare)

Ins. Median: $220 (98% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Sas Mhg	$46 - $280	21%
UnitedHealthcare	$113 - $184	51%
Cigna	$122 - $322	55%
Fox Everett	$122 - $184	55%
Aetna	$153 - $230	68%
Magnolia Health	$160 - $277	72%
Molina	$160 - $887	72%
Devoted Health	$185	83%
First Choice	$220 - $355	98%
First Health	$220 - $331	98%
Humana	$220 - $331	98%
Mpcn	$229 - $345	102%
Sas Non-Mhg	$355	159%
Mhg	$374	167%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $248.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 94640.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital Biloxi is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 94640.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.