CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Kenmore Mercy Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$46
about 0.2× the $224 Medicare rate · typically $8–$189
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $46 Cash price $388 Hospital's list price $388
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 | $3 - $19 | 1% |
| Blue Cross Blue Shieldmajor | $3 - $18 | 1% |
| Aetnamajor | $8 | 4% |
| Cignamajor | $8 - $11 | 4% |
| Humanamajor | $8 | 4% |
| Amerigroup | $3 - $7 | 1% |
| Fidelis Care | $7 - $9 | 3% |
| Independent Health | $7 - $383 | 3% |
| Molina | $7 - $17 | 3% |
| MVP Health Care | $21 | 9% |
| UPMC Health Plan | $14 | 6% |
| WellCare | $8 | 4% |
| + 16 smaller / regional plans | $3 - $307 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Kenmore Mercy Hospital
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.