CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: St Anthony Community Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$264
about 1.2× the $224 Medicare rate · typically $81–$423
modeled estimate · not a bill or quote
What this hospital charges insurers
$224
Below the fair price — a good deal
about $40 under the fair price · 1.0× Medicare
Medicare pays $224 Fair price $264 This hospital $224 Cash price $373 Hospital's list price $942

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 $224

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 $264 (about 1.2× the $224 Medicare rate). St Anthony Community Hospital charges insurers about $224, or about $373 in cash — below the fair price — a good deal. Located in Warwick, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $224 - $264 100%
Blue Cross Blue Shieldmajor $112 50%
+ 1 smaller / regional plan $238 - $265

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 15 Maple Avenue -19, Warwick, NY 10990
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals