CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Wentworth-Douglass Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$165
about 0.7× the $224 Medicare rate · typically $93–$336
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $165 Cash price $123 Hospital's list price $205

How we calculate the fair BaseRate →

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✓ Cigna HumanaKaiser 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 $159 - $212 71%
Blue Cross Blue Shieldmajor $585 - $1,358 261%
Aetnamajor $143 - $217 64%
Cignamajor $117 52%
WellSense $24 11%
+ 3 smaller / regional plans $24 - $212
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 789 Central Ave, Dover, NH 03820
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals