CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Anderson Regional Medical Center South Campus

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $326
Cash Discount Price: $180
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Anderson Regional Medical Center South Campus is $326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.46x the Medicare baseline. Located in 1102 Constitution Avenue, Meridian, MS.

Cash / Self-Pay

$180

Average discount available for prompt cash payment at this facility.

Insurance Median

$326

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: $180 (80%)

Insurance Median: $326 (146%)

Cash: $180 (80% of Medicare)

Ins. Median: $326 (146% 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
Molina	$90 - $344	40%
UnitedHealthcare	$177 - $272	79%
Magnolia Ms	$183 - $254	82%
Blue Cross Blue Shield	$187 - $305	84%
Aetna	$190 - $293	85%
Littler	$224 - $226	100%
Ppo Plus	$269 - $271	120%
Advanced Health Systems Inc.	$305	136%
Ashley Furniture Stores	$326	146%
Crittenden County	$326	146%
Davidson Hospitality	$326	146%
Dunn Investment Company	$326	146%
First State Bank Trust	$326	146%
Gossett Motor Cars	$326	146%
Hattiesburg Clinic	$326	146%
Hospitality Management Advisors	$326	146%
Jas D Collier	$326	146%
Mechanical Systems	$326	146%
Mid-South Transport	$326	146%
Patterson Warehouses	$326	146%
Radians	$326	146%
Rei Nation	$326	146%
Retzer Resources	$326	146%
State Systems	$326	146%
W W Wood Products	$326	146%
Watkins Uiberall	$326	146%
Integrated Health Plan	$337 - $338	151%
Mpcn	$408	182%

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 $180.
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 Anderson Regional Medical Center South Campus 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.