CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: South Pointe Hospital

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–$204
modeled estimate · not a bill or quote
What this hospital charges insurers
$189
About the fair price
about $8 under the fair price · 0.8× Medicare
Medicare pays $224 Fair price $197 This hospital $189 Cash price $528 Hospital's list price $813

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 $189

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 $197 (about 0.9× the $224 Medicare rate). South Pointe Hospital charges insurers about $189, or about $528 in cash — about the fair price. Located in Warrensville Heights, 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 $59 - $504 26%
Blue Cross Blue Shieldmajor $65 - $650 29%
Aetnamajor $189 - $813 84%
Cignamajor $194 - $650 87%
Humanamajor $189 - $691 84%
AmeriHealth $68 30%
CareSource $66 30%
Devoted Health $189 84%
Molina $65 29%
Oscar Health $245 - $313 110%
Paramount $64 29%
UniCare $198 89%
UPMC Health Plan $189 - $488 84%
+ 16 smaller / regional plans $65 - $732
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 20000 Harvard Road, Warrensville Heights, OH 44122
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals