CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Crouse Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$193
about 0.9× the $224 Medicare rate · typically $59–$283
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $193 Cash price $242 Hospital's list price $242
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 - $273 | 29% |
| Blue Cross Blue Shieldmajor | $65 - $491 | 29% |
| Aetnamajor | $273 | 122% |
| Humanamajor | $273 | 122% |
| CDPHP | $273 | 122% |
| EmblemHealth | $273 | 122% |
| Fidelis Care | $65 - $402 | 29% |
| Molina | $65 - $147 | 29% |
| MVP Health Care | $147 - $573 | 66% |
| WellCare | $65 - $287 | 29% |
| + 5 smaller / regional plans | $65 - $615 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Crouse 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.