CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Holzer Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$181
about 0.8× the $224 Medicare rate · typically $77–$212
modeled estimate · not a bill or quote
What this hospital charges insurers
$207
About the fair price
about $26 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $181 This hospital $207 Cash price $251 Hospital's list price $502

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 $207

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 $181 (about 0.8× the $224 Medicare rate). Holzer Medical Center charges insurers about $207, or about $251 in cash — about the fair price. Located in Gallipolis, 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 $129 - $326 58%
Blue Cross Blue Shieldmajor $132 - $292 59%
Aetnamajor $132 - $326 59%
Cignamajor $326 146%
Humanamajor $207 - $452 93%
CareSource $290 130%
+ 8 smaller / regional plans $326 - $477
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Jackson Pike, Gallipolis, OH 45631
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals