CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Boys Town National Research Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $110
  • Cash Discount Price: $110
  • vs. Medicare Baseline: 0.49x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Boys Town National Research Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.49x the Medicare baseline. Located in 14000 Boys Town Hospital Road, Boys Town, NE.
Cash / Self-Pay
$110

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $110 (49%)
Insurance Median: $110 (49%)
Cash: $110 (49% of Medicare)
Ins. Median: $110 (49% 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.

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
Medica $69 - $110 31%
Elap Omaha Firefighters $76 34%
UnitedHealthcare $97 - $117 43%
Aetna $102 46%
First Health $102 46%
Methodist $104 46%
Nfm Paramount $104 - $110 46%
Blue Cross Blue Shield $110 - $134 49%
Health Partners $110 49%
Midlands Choice $110 49%
Phcs-Multiplan $110 - $117 49%
Molina Of Nebraska $117 52%
Nebraska Total Care $117 52%
Amerigroup $167 75%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14000 Boys Town Hospital Road, Boys Town, NE 68010
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens