CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: The Nebraska Methodist Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$177

about 0.8× the $224 Medicare rate · typically $49–$290

modeled estimate · not a bill or quote

What this hospital charges insurers

$74

Below the fair price — a good deal

about $103 under the fair price · 0.3× Medicare

Medicare pays $224 Fair price $177 This hospital $74 Cash price $122 Hospital's list price $340

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NE hospitals compared.

Cheapest $23 Priciest $117

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

A fair price for a Breathing treatment (nebulizer) is about $177 (about 0.8× the $224 Medicare rate). The Nebraska Methodist Hospital charges insurers about $74, or about $122 in cash — below the fair price — a good deal. Located in Omaha, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$74 - $1,014	33%
Blue Cross Blue Shieldmajor	$16 - $943	7%
Aetnamajor	$40 - $1,059	18%
Humanamajor	$221	99%
Ambetter (Centene)	$16 - $464	7%
Medica	$53 - $857	24%
+ 2 smaller / regional plans	$15 - $788

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 122), 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 The Nebraska Methodist Hospital 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 The Nebraska Methodist Hospital

Compare: Breathing treatment (nebulizer) at other NE hospitals

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