CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Bayshore Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$230

about 1.0× the $224 Medicare rate · typically $102–$281

modeled estimate · not a bill or quote

What this hospital charges insurers

$241

About the fair price

about $11 over the fair price · 1.1× Medicare

Medicare pays $224 Fair price $230 This hospital $241 Cash price $225 Hospital's list price $523

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 $241

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 $230 (about 1.0× the $224 Medicare rate). Bayshore Medical Center charges insurers about $241, or about $225 in cash — about the fair price. Located in Holmdel, 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	$236 - $1,062	105%
Blue Cross Blue Shieldmajor	$225	101%
Aetnamajor	$86 - $471	38%
Cignamajor	$418 - $500	187%
AmeriHealth	$449 - $509	201%
Clover Health	$94	42%
WellCare	$225	101%
+ 6 smaller / regional plans	$98 - $770

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (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 225), 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 Bayshore Medical Center 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 Bayshore Medical Center

Compare: Breathing treatment (nebulizer) at other NJ hospitals

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