CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Wooster Community Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$189
about 0.8× the $224 Medicare rate · typically $51–$210
modeled estimate · not a bill or quote
What this hospital charges insurers
$212
About the fair price
about $23 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $189 This hospital $212 Cash price $229 Hospital's list price $229

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $212

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $189 (about 0.8× the $224 Medicare rate). Wooster Community Hospital charges insurers about $212, or about $229 in cash — about the fair price. Located in Wooster, OH.

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 $57 - $223 25%
Blue Cross Blue Shieldmajor $59 - $216 26%
Aetnamajor $60 - $235 27%
Cignamajor $179 - $188 80%
Humanamajor $210 - $221 94%
AmeriHealth $60 27%
CareSource $57 - $303 25%
Molina $58 - $360 26%
+ 31 smaller / regional plans $57 - $413
Government programs also on file: Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals