CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Ira Davenport Memorial Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$125
about 0.6× the $224 Medicare rate · typically $17–$229
modeled estimate · not a bill or quote
What this hospital charges insurers
$235
Well above the fair price
about $110 over the fair price · 1.0× Medicare
Medicare pays $224 Fair price $125 This hospital $235 Cash price $71 Hospital's list price $253

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 $235

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 $125 (about 0.6× the $224 Medicare rate). Ira Davenport Memorial Hospital charges insurers about $235, or about $71 in cash — well above the fair price. Located in Bath, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $125. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $34 - $480 15%
Blue Cross Blue Shieldmajor $20 - $1,387 9%
Aetnamajor $34 - $408 15%
Cignamajor $29 - $285 13%
Humanamajor $41 - $411 18%
AmeriHealth $243 109%
Fidelis Care $25 - $251 11%
Geisinger $27 - $266 12%
Independent Health $30 - $297 13%
MVP Health Care $29 - $285 13%
UPMC Health Plan $32 - $315 14%
+ 6 smaller / regional plans $7 - $1,506
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 7571 State Route 54, Bath, NY 14810
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital