CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Cayuga Medical Center at Ithaca

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$150

about 0.7× the $224 Medicare rate · typically $61–$271

modeled estimate · not a bill or quote

What this hospital charges insurers

$127

Below the fair price — a good deal

about $23 under the fair price · 0.6× Medicare

Medicare pays $224 Fair price $150 This hospital $127 Cash price $30 Hospital's list price $149

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 $127

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 $150 (about 0.7× the $224 Medicare rate). Cayuga Medical Center at Ithaca charges insurers about $127, or about $30 in cash — below the fair price — a good deal. Located in Ithaca, NY.

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✓ Cigna HumanaKaiser 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	$136	61%
Blue Cross Blue Shieldmajor	$116 - $273	52%
Aetnamajor	$111 - $273	50%
Cignamajor	$124	55%
Fidelis Care	$3	1%
Independent Health	$143	64%
Molina	$3 - $7	1%
WellCare	$295	132%
+ 2 smaller / regional plans	$139 - $248

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 30), 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 Cayuga Medical Center at Ithaca 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 Cayuga Medical Center at Ithaca

Compare: Breathing treatment (nebulizer) at other NY hospitals

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