CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: St Mary's Healthcare
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$157
about 0.7× the $224 Medicare rate · typically $50–$271
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $157 Cash price $25 Hospital's list price $36
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✓ Humana CignaKaiser 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 | $65 | 29% |
| Blue Cross Blue Shieldmajor | $10 - $282 | 4% |
| Aetnamajor | $10 - $135 | 4% |
| Humanamajor | $13 - $135 | 6% |
| CDPHP | $9 - $94 | 4% |
| + 3 smaller / regional plans | $6 - $81 |
Government programs also on file: Medicare, Medicaid, Military & VA.
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Other Procedures at St Mary's Healthcare
Compare: Breathing treatment (nebulizer) at other NY hospitals
- Chsli St Joseph Hospital · Bethpage $43
- Mercy Medical Center · Rockville Centre $58
- Good Samaritan Hospital Medical Center · West Islip $58
- St Catherine of Siena Hospital · Smithtown $58
- St Francis Hospital - the Heart Center · Roslyn $63
- St Charles Hospital · Port Jefferson $63
- Nassau University Medical Center · East Meadow $67
- Samaritan Hospital of Troy, New York · Troy $97
Insurance negotiated median for the same procedure, sorted lowest first.