CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 94640 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$248

about 1.1× the $224 Medicare rate · typically $101–$288

modeled estimate · not a bill or quote

What this hospital charges insurers

$257

About the fair price

about $9 over the fair price · 1.1× Medicare

Medicare pays $224 Fair price $248 This hospital $257 Cash price $716 Hospital's list price $716

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $29 Priciest $257

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

A fair price for a Breathing treatment (nebulizer) is about $248 (about 1.1× the $224 Medicare rate). University Medical Center of Princeton at Plainsboro charges insurers about $257, or about $716 in cash — about the fair price. Located in Plainsboro, NJ.

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	$88 - $1,174	39%
Blue Cross Blue Shieldmajor	$87 - $883	39%
Aetnamajor	$40 - $978	18%
Cignamajor	$162 - $1,174	72%
Humanamajor	$270	121%
AmeriHealth	$256 - $695	114%
Clover Health	$265	118%
Health Net	$303 - $1,174	135%
MagnaCare	$260 - $822	116%
WellCare	$44 - $119	20%
+ 28 smaller / regional plans	$41 - $1,174

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 4 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 716), 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 University Medical Center of Princeton at Plainsboro 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 University Medical Center of Princeton at Plainsboro

Compare: Breathing treatment (nebulizer) at other NJ hospitals

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