CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $253
  • Cash Discount Price: $408
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at University Hospitals Conneaut Medical Center is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $408. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.13x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$408

Average discount available for prompt cash payment at this facility.

Insurance Median
$253

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)
Cash / Self-Pay: $408 (182%)
Insurance Median: $253 (113%)
Cash: $408 (182% of Medicare)
Ins. Median: $253 (113% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $58 - $474 26%
Blue Cross Blue Shield $58 - $697 26%
Cigna $58 - $516 26%
Devoted $58 - $216 26%
Humana $58 - $216 26%
Medical Mutual Of Ohio $58 - $657 26%
Molina $58 - $216 26%
Primetime Health Plan $58 - $216 26%
Summacare $58 - $355 26%
The Health Plan $58 - $460 26%
UnitedHealthcare $58 - $593 26%
Wellcare By Allwell $58 - $216 26%
Paramount $59 - $223 26%
Perennial Advantage Of Ohio $61 - $227 27%
Valor Health Plans $61 - $227 27%
University Health Employee Plan (Contigo) $74 - $279 33%
Amish Aid Community Plan $86 - $321 38%
Amish Church Fund And Workers Aid Plan $86 - $321 38%
Buckeye Plain Ministries $86 - $321 38%
Jp Farley $87 - $328 39%
Clarity $89 - $335 40%
Christian Healthcare Ministries $93 - $348 42%
Immergrun $93 - $348 42%
Sunrise Plan Communities $93 - $348 42%
Aultcare $102 - $383 46%
Ambetter / Centene $104 - $389 46%
Caresource $104 - $389 46%
Healthsmart $121 - $453 54%
Ohio Health Choice $121 - $627 54%
Medical Mutual Traditional/Health Ohio $130 - $488 58%
Beech Street $149 - $627 67%
Ohio Preferred Network $149 - $627 67%
First Health $154 - $579 69%
Century Health Network $158 - $592 71%
Private Healthcare System $160 - $599 72%
Configurenet $167 - $627 75%
Fortified Provider Network $167 - $627 75%
Multiplan $167 - $627 75%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals