CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Novant Health Brunswick Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $246
Cash Discount Price: $225
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Novant Health Brunswick Medical Center is $246. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.10x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$246

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: $225 (101%)

Insurance Median: $246 (110%)

Cash: $225 (101% of Medicare)

Ins. Median: $246 (110% 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
Blue Cross Blue Shield	$12 - $284	5%
Carolina Complete	$62 - $64	28%
Nc Department Of Public Safety	$62 - $470	28%
Amerihealth	$63 - $65	28%
UnitedHealthcare	$63 - $280	28%
Wellcare	$63 - $65	28%
Cigna	$173 - $253	77%
Caresource North Carolina	$177 - $182	79%
Humana	$235 - $392	105%
Pace Of The Southern Piedmont	$235	105%
Atlantic Corporation Dba Atlantic Packaging	$239 - $246	107%
New Hanover Health Advantage	$240	107%
Aetna	$241 - $388	108%
Amps	$243 - $251	109%
Liberty Health	$247	110%
Plotkin Health	$265 - $274	118%
Medcost	$333 - $383	149%
Transformhealth	$354 - $365	158%
Multiplan	$398 - $410	178%
Phcs	$398 - $410	178%
Employers Choice Network	$429 - $442	192%
Three Rivers Provider Network	$429 - $442	192%
Ambetter / Centene	$528	236%

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 $225.
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 Novant Health Brunswick Medical Center 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.