CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Southwest General Health Center
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$187
about 0.8× the $224 Medicare rate · typically $36–$199
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $187 Hospital's list price $258
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 | $11 - $311 | 5% |
| Blue Cross Blue Shieldmajor | $11 - $100 | 5% |
| Aetnamajor | $140 - $397 | 63% |
| Cignamajor | $141 - $315 | 63% |
| Humanamajor | $11 - $225 | 5% |
| AmeriHealth | $11 - $100 | 5% |
| CareSource | $11 - $100 | 5% |
| Medical Mutual | $11 - $89 | 5% |
| Molina | $11 - $255 | 5% |
| + 9 smaller / regional plans | $11 - $461 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Southwest General Health 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.