CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Lima Memorial Health System
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$181
about 0.8× the $224 Medicare rate · typically $102–$334
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $181 Cash price $250 Hospital's list price $278
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
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $865 - $961 | 387% |
| Aetnamajor | $209 - $251 | 93% |
| CareSource | $366 | 164% |
| Devoted Health | $211 | 94% |
| + 1 smaller / regional plan | $355 |
Self-Pay How to get the cash price
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Other Procedures at Lima Memorial Health System
Compare: Breathing treatment (nebulizer) at other OH hospitals
- Christ Hospital · Cincinnati $20
- Cleveland Clinic · Cleveland $35
- Nationwide Children's Hospital · Columbus $44
- Fostoria Community Hospital · Fostoria $48
- Magruder Hospital · Port Clinton $60
- Nationwide Children's Hospital Toledo, LLC · Toledo $73
- Memorial Hospital · Fremont $79
- Ohiohealth Morrow County Hospital · Mount Gilead $82
Insurance negotiated median for the same procedure, sorted lowest first.