CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$108
about 0.5× the $224 Medicare rate · typically $22–$195
modeled estimate · not a bill or quote
What this hospital charges insurers
$189
Above the fair price
about $81 over the fair price · 0.8× Medicare
Medicare pays $224 Fair price $108 This hospital $189 Cash price $194 Hospital's list price $259

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 $108 (about 0.5× the $224 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $189, or about $194 in cash — above the fair price. Located in Cleveland, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $108. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $160 - $189 72%
Blue Cross Blue Shieldmajor $137 - $189 61%
Aetnamajor $145 - $206 65%
Cignamajor $145 - $189 65%
Humanamajor $189 84%
Ambetter (Centene) $145 65%
CareSource $140 63%
Devoted Health $189 84%
Health Net $220 98%
Medical Mutual $86 - $205 38%
Molina $189 84%
Paramount $194 87%
WellCare $189 84%
+ 21 smaller / regional plans $104 - $233
Excludes 5 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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens