CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Little Falls Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$74
about 0.3× the $224 Medicare rate · typically $8–$291
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $74 Cash price $40 Hospital's list price $147
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 | $12 - $258 | 5% |
| Blue Cross Blue Shieldmajor | $12 - $357 | 5% |
| Aetnamajor | $13 - $258 | 6% |
| Cignamajor | $36 - $326 | 16% |
| Humanamajor | $13 - $258 | 6% |
| CDPHP | $12 - $258 | 5% |
| Fidelis Care | $13 - $258 | 6% |
| MVP Health Care | $12 - $258 | 5% |
| + 1 smaller / regional plan | $12 - $258 |
Self-Pay How to get the cash price
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Other Procedures at Little Falls 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.