CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Metrohealth System
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$197
about 0.9× the $224 Medicare rate · typically $39–$220
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $197 Cash price $96 Hospital's list price $274
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 | $451 - $790 | 202% |
| Aetnamajor | $331 | 148% |
| CareSource | $290 | 130% |
| Medical Mutual | $113 - $824 | 51% |
| + 7 smaller / regional plans | $207 - $539 |
Self-Pay How to get the cash price
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Other Procedures at Metrohealth 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.