CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Mercy Medical Center
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$153
about 0.7× the $224 Medicare rate · typically $16–$259
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $153 Cash price $528 Hospital's list price $813
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 | $7 - $498 | 3% |
| Blue Cross Blue Shieldmajor | $7 - $521 | 3% |
| Aetnamajor | $7 - $813 | 3% |
| Cignamajor | $7 - $424 | 3% |
| Humanamajor | $7 - $188 | 3% |
| AmeriHealth | $12 - $58 | 5% |
| CareSource | $11 - $54 | 5% |
| Molina | $12 - $55 | 5% |
| Oscar Health | $38 - $313 | 17% |
| UniCare | $7 - $197 | 3% |
| + 18 smaller / regional plans | $5 - $813 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Medical Center
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.