CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Boys Town National Research Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$167

about 0.7× the $224 Medicare rate · typically $28–$300

modeled estimate · not a bill or quote

What this hospital charges insurers

$117

Below the fair price — a good deal

about $50 under the fair price · 0.5× Medicare

Medicare pays $224 Fair price $167 This hospital $117 Cash price $110 Hospital's list price $138

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

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 $167 (about 0.7× the $224 Medicare rate). Boys Town National Research Hospital charges insurers about $117, or about $110 in cash — below the fair price — a good deal. Located in Boys Town, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$97 - $117	43%
Blue Cross Blue Shieldmajor	$110 - $134	49%
Aetnamajor	$102	46%
Amerigroup	$167	75%
HealthPartners	$110	49%
Medica	$69 - $110	31%
Molina	$117	52%
Paramount	$104 - $110	46%
+ 3 smaller / regional plans	$76 - $117

Excludes 3 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 110), 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 Boys Town National Research 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 Boys Town National Research Hospital

Compare: Breathing treatment (nebulizer) at other NE hospitals

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