CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$134

about 0.6× the $224 Medicare rate · typically $10–$339

modeled estimate · not a bill or quote

What this hospital charges insurers

$148

About the fair price

about $14 over the fair price · 0.7× Medicare

Medicare pays $224 Fair price $134 This hospital $148 Cash price $484 Hospital's list price $484

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 $148

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breathing treatment (nebulizer) is about $134 (about 0.6× the $224 Medicare rate). Memorial Hospital for Cancer and Allied Diseases charges insurers about $148, or about $484 in cash — about the fair price. Located in New York, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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	$378	169%
Aetnamajor	$180 - $378	80%
Cignamajor	$369	165%
Fidelis Care	$197 - $237	88%
MagnaCare	$310 - $387	139%
+ 7 smaller / regional plans	$88 - $378

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 484), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Memorial Hospital for Cancer and Allied Diseases is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Memorial Hospital for Cancer and Allied Diseases

Compare: Breathing treatment (nebulizer) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.