CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Desert View Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $219
Cash Discount Price: $225
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Desert View Hospital is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.98x the Medicare baseline. Located in 360 South Lola Lane, Pahrump, NV.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$219

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)

Cash / Self-Pay: $225 (101%)

Insurance Median: $219 (98%)

Cash: $225 (101% of Medicare)

Ins. Median: $219 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Amerigroup	$16	7%
Silversummit	$16	7%
Smartchoice	$16	7%
Sr.Careplus	$16 - $126	7%
Humana	$18 - $474	8%
Ambetter / Centene	$28 - $221	13%
Hpn	$31 - $252	14%
Sierra	$31 - $252	14%
UnitedHealthcare	$31 - $353	14%
Cigna	$49 - $399	22%
Beechstreet	$59 - $474	26%
Coventry	$59 - $474	26%
Multiplan	$59 - $474	26%
Prominence	$59 - $474	26%
Aetna	$63 - $504	28%
Affiliated	$74 - $593	33%
Blue Cross Blue Shield	$84 - $675	38%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $225.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 94640.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Desert View Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 94640.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.