CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Lodi Community Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$103
about 0.5× the $224 Medicare rate · typically $19–$239
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
Below the fair price — a good deal
about $19 under the fair price · 0.4× Medicare
Medicare pays $224 Fair price $103 This hospital $84 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 $84

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breathing treatment (nebulizer) is about $103 (about 0.5× the $224 Medicare rate). Lodi Community Hospital charges insurers about $84, or about $528 in cash — below the fair price — a good deal. Located in Lodi, 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 $76 - $580 34%
Blue Cross Blue Shieldmajor $84 - $665 38%
Aetnamajor $276 - $813 123%
Cignamajor $524 234%
Humanamajor $244 109%
AmeriHealth $88 39%
CareSource $80 36%
Molina $84 38%
Oscar Health $245 - $313 110%
UPMC Health Plan $488 218%
+ 15 smaller / regional plans $80 - $732
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 225 Elyria Street, Lodi, OH 44254
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals