CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$130
about 0.6× the $224 Medicare rate · typically $28–$291
modeled estimate · not a bill or quote
What this hospital charges insurers
$273
Well above the fair price
about $143 over the fair price · 1.2× Medicare
Medicare pays $224 Fair price $130 This hospital $273 Cash price $513 Hospital's list price $789

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $43 Priciest $273

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

A fair price for a Breathing treatment (nebulizer) is about $130 (about 0.6× the $224 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $273, or about $513 in cash — well above the fair price. Located in Mount Vernon, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $130. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $14 - $273 6%
Blue Cross Blue Shieldmajor $273 122%
Aetnamajor $26 12%
Cignamajor $421 - $556 188%
Humanamajor $301 135%
Fidelis Care $3 - $273 1%
Molina $377 169%
Oscar Health $604 270%
SelectHealth $3 1%
WellCare $3 - $279 1%
+ 12 smaller / regional plans $3 - $1,020
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals