CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$203

about 0.9× the $224 Medicare rate · typically $88–$334

modeled estimate · not a bill or quote

What this hospital charges insurers

$152

Below the fair price — a good deal

about $51 under the fair price · 0.7× Medicare

Medicare pays $224 Fair price $203 This hospital $152 Hospital's list price $207

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 7 of 8 other NJ hospitals charge more for the same procedure.

Cheapest $29 Priciest $226

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 $203 (about 0.9× the $224 Medicare rate). Atlanticare Regional Medical Center - City Campus charges insurers about $152 — below the fair price — a good deal. Located in Atlantic City, NJ.

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	$17 - $188	8%
Blue Cross Blue Shieldmajor	$108 - $218	48%
Aetnamajor	$75 - $219	34%
Cignamajor	$55 - $134	25%
Amerigroup	$34 - $69	15%
AmeriHealth	$84 - $223	38%
Devoted Health	$254	114%
Health Net	$92 - $252	41%
HealthPartners	$493	220%
MagnaCare	$52 - $238	23%
WellCare	$18 - $37	8%
+ 29 smaller / regional plans	$17 - $252

Government programs also on file: Military & VA.

Excludes 6 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, 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 Atlanticare Regional Medical Center - City Campus 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 Atlanticare Regional Medical Center - City Campus

Compare: Breathing treatment (nebulizer) at other NJ hospitals

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