CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Novant Health Thomasville Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$230

about 1.0× the $224 Medicare rate · typically $97–$388

modeled estimate · not a bill or quote

What this hospital charges insurers

$176

Below the fair price — a good deal

about $54 under the fair price · 0.8× Medicare

Medicare pays $224 Fair price $230 This hospital $176 Cash price $163 Hospital's list price $271

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $176

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $230 (about 1.0× the $224 Medicare rate). Novant Health Thomasville Medical Center charges insurers about $176, or about $163 in cash — below the fair price — a good deal. Located in Thomasville, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$49 - $212	22%
Blue Cross Blue Shieldmajor	$12 - $212	5%
Aetnamajor	$191 - $220	85%
Cignamajor	$106 - $219	47%
Humanamajor	$208 - $214	93%
AmeriHealth	$49 - $51	22%
CareSource	$107 - $110	48%
WellCare	$49 - $51	22%
+ 9 smaller / regional plans	$49 - $425

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 163), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Novant Health Thomasville Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Novant Health Thomasville Medical Center

Compare: Breathing treatment (nebulizer) at other NC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.