CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Cincinnati Children's Hospital Medical Center
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$92
about 0.4× the $224 Medicare rate · typically $7–$239
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $92 Cash price $76 Hospital's list price $149
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 | $9 - $268 | 4% |
| Blue Cross Blue Shieldmajor | $4 - $294 | 2% |
| Aetnamajor | $8 - $284 | 4% |
| Cignamajor | $35 - $284 | 16% |
| Humanamajor | $9 - $102 | 4% |
| AmeriHealth | $10 - $105 | 4% |
| CareSource | $4 - $144 | 2% |
| Medical Mutual | $28 - $284 | 13% |
| Molina | $10 - $107 | 4% |
| WellCare | $9 - $79 | 4% |
| + 14 smaller / regional plans | $8 - $293 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Cincinnati Children's Hospital 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.