CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Baptist Memorial Hospital North Ms
Billing Code: 94640 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 94640
- Insurance Median: $333
- Cash Discount Price: $58
- vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Baptist Memorial Hospital North Ms is $333. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.49x the Medicare baseline. Located in 1100 Belk Blvd, Oxford, MS.
Cash / Self-Pay
$58
Average discount available for prompt cash payment at this facility.
Insurance Median
$333
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: $58 (26%)
Insurance Median: $333 (149%)
Cash: $58 (26% of Medicare)
Ins. Median: $333 (149% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ums Athletic Dept | $70 | 31% |
| Ppo Holdings | $95 | 42% |
| Magnolia Regional Health Center | $100 | 45% |
| Littler | $126 | 56% |
| Molina | $126 - $342 | 56% |
| UnitedHealthcare | $129 - $190 | 58% |
| Cigna | $138 | 62% |
| Aetna | $163 - $194 | 73% |
| Humana | $166 - $194 | 74% |
| First Choice Health Plan Of Ms | $176 - $333 | 79% |
| Triwest | $178 | 80% |
| Ms Breast And Cervical | $185 | 83% |
| Vaccn | $185 | 83% |
| Veterans Evaluation Services | $185 | 83% |
| Multiplan | $188 | 84% |
| Novasys | $188 | 84% |
| Devoted Health | $189 | 84% |
| Blue Cross Blue Shield | $191 - $305 | 85% |
| American Health Plan | $194 | 87% |
| Shared Health | $194 | 87% |
| Christian Health Aid | $201 | 90% |
| Ppo Plus | $213 | 95% |
| Qca | $226 | 101% |
| Magnolia Ms | $250 | 112% |
| Brimhall Foods | $278 | 124% |
| Advanced Health Systems Inc. | $305 | 136% |
| First State Bank Trust | $315 | 141% |
| Arlington Community Schools | $333 | 149% |
| Armstrong Relocation | $333 | 149% |
| Ashley Furniture Stores | $333 | 149% |
| Bartlett City Schools | $333 | 149% |
| Building Plastic | $333 | 149% |
| Burch Food Services | $333 | 149% |
| Cannon Motor Company | $333 | 149% |
| Carlisle | $333 | 149% |
| City Of Bartlett | $333 | 149% |
| City Of Lakeland | $333 | 149% |
| Collierville Schools | $333 | 149% |
| Crittenden County | $333 | 149% |
| Davidson Hospitality | $333 | 149% |
| Delta Industries | $333 | 149% |
| Desoto Co Board Of Supervisors | $333 | 149% |
| Dunn Investment Company | $333 | 149% |
| Eas Mssc Schools | $333 | 149% |
| First Community Bank | $333 | 149% |
| French Camp Academy | $333 | 149% |
| Gossett Motor Cars | $333 | 149% |
| Hattiesburg Clinic | $333 | 149% |
| Heartland Catfish Company | $333 | 149% |
| Heavy Machines | $333 | 149% |
| Hollowell Industries | $333 | 149% |
| Hospitality Management Advisors | $333 | 149% |
| Jas D Collier | $333 | 149% |
| Lakeland School System | $333 | 149% |
| Malco Theaters | $333 | 149% |
| Mechanical Systems | $333 | 149% |
| Mid-South Transport | $333 | 149% |
| Minact | $333 | 149% |
| Patterson Warehouses | $333 | 149% |
| Radians | $333 | 149% |
| Rei Nation | $333 | 149% |
| Retzer Resources | $333 | 149% |
| Ritchey Automotive | $333 | 149% |
| Security One | $333 | 149% |
| Silver Tree | $333 | 149% |
| State Systems | $333 | 149% |
| Town Of Collierville | $333 | 149% |
| United Tn Holdings | $333 | 149% |
| Vaughn Electric | $333 | 149% |
| W G Yates | $333 | 149% |
| W W Wood Products | $333 | 149% |
| Watkins Uiberall | $333 | 149% |
| Y K Auto Group | $333 | 149% |
| Employers Health Network | $370 | 165% |
| Harding Academy | $370 | 165% |
| Mpcn | $370 | 165% |
| Primewell | $518 | 232% |