CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Methodist Healthcare - Olive Branch Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $218
Cash Discount Price: $2,773
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Methodist Healthcare - Olive Branch Hospital is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,773. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.97x the Medicare baseline. Located in 4250 Bethel Road, Olive Branch, MS.

Cash / Self-Pay

$2,773

Average discount available for prompt cash payment at this facility.

Insurance Median

$218

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: $2,773 (1239%)

Insurance Median: $218 (97%)

Cash: $2,773 (1239% of Medicare)

Ins. Median: $218 (97% 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
Medicaid / KanCare	$6 - $4,156	3%
UnitedHealthcare	$13 - $9,273	6%
Blue Cross Blue Shield	$15 - $5,343	7%
Cigna	$119 - $11,153	53%
American Health Advantage Mcr Adv [450117]	$186 - $5,343	83%
Carecentrix [450200]	$186 - $5,343	83%
Devoted Health [450111]	$186 - $5,343	83%
Generic Hospice Vbid [10940000101]	$186 - $5,343	83%
Humana	$186 - $5,343	83%
Medicare (plans)	$186 - $5,343	83%
Va Hospital [600005]	$186 - $5,343	83%
Tricare	$191 - $5,161	85%
Molina Healthcare [350012]	$198	89%
United Food & Commercial Workers [100309]	$389 - $11,153	174%

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 $2,773.
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 Methodist Healthcare - Olive Branch Hospital 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.