CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$90
about 0.4× the $224 Medicare rate · typically $8–$485
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $90 Cash price $63 Hospital's list price $117

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $42 - $126 19%
Blue Cross Blue Shieldmajor $29 - $156 13%
Aetnamajor $53 - $166 24%
Cignamajor $45 - $143 20%
Humanamajor $61 - $182 27%
Ambetter (Centene) $10 4%
Harvard Pilgrim $37 - $152 17%
MVP Health Care $54 - $159 24%
Tufts Health Plan $43 - $128 19%
+ 4 smaller / regional plans $10 - $135
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 10 Alice Peck Day Drive, Lebanon, NH 03766
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals