Breathing treatment (nebulizer)
Facility: Bertrand Chaffee Hospital
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $68
- Cash Discount Price: $74
- vs. Medicare Baseline: 0.30x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Comm Blue Essential | $3 | 1% |
| Community Blue | $3 | 1% |
| Community Care - Bc | $3 | 1% |
| Fidelis Care Of New York | $3 | 1% |
| Ghi Medical | $3 | 1% |
| Gowanda Correctional Fac | $3 | 1% |
| Medicaid / KanCare | $3 | 1% |
| Molina Essential Plan | $3 | 1% |
| Molina Heathcare Of Wny | $3 | 1% |
| Seneca Nation Health Dept | $3 | 1% |
| United Hc - Community Pln | $3 | 1% |
| United Hc Essential Plan | $3 | 1% |
| Univera Hc Myhealth | $3 | 1% |
| Univera Hc Myhealth+ | $3 - $7 | 1% |
| Yourcare | $3 | 1% |
| Fidelis Essential Plans | $7 | 3% |
| Private Pay | $7 - $259 | 3% |
| Univera Essential Plans | $7 | 3% |
| Univera Hc Child Health+ | $7 | 3% |
| Univera Plus Med | $7 | 3% |
| Aetna | $8 - $305 | 4% |
| American Progressive Ins. | $8 - $305 | 4% |
| Cigna | $8 - $305 | 4% |
| Commercial / Misc | $8 - $305 | 4% |
| Global Excel Mgt | $8 - $305 | 4% |
| Guardian Life Ins. Co. | $8 - $305 | 4% |
| Mvp Commercial | $8 - $305 | 4% |
| No Amer Meritian Health | $8 - $305 | 4% |
| No-Fault | $8 - $305 | 4% |
| Univera Senior Choice | $10 | 4% |
| Univera Healthcare | $11 | 5% |
| Blue Cross Blue Shield | $18 - $20 | 8% |
| Senior Blue - Bc | $18 | 8% |
| Iha Essential Plans | $131 - $147 | 59% |
| Iha Medisource | $131 - $147 | 59% |
| Iha Encompass 65 | $182 | 81% |
| Iha | $235 | 105% |
| Iha Custom Coverage | $235 | 105% |