CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Mercy Hospital Oklahoma City, Inc

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$247

about 1.1× the $224 Medicare rate · typically $66–$376

modeled estimate · not a bill or quote

What this hospital charges insurers

$190

Below the fair price — a good deal

about $57 under the fair price · 0.8× Medicare

Medicare pays $224 Fair price $247 This hospital $190 Cash price $480 Hospital's list price $739

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $190

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

A fair price for a Breathing treatment (nebulizer) is about $247 (about 1.1× the $224 Medicare rate). Mercy Hospital Oklahoma City, Inc charges insurers about $190, or about $480 in cash — below the fair price — a good deal. Located in Oklahoma City, OK.

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	$83 - $480	37%
Blue Cross Blue Shieldmajor	$190 - $203	85%
Aetnamajor	$7 - $534	3%
Cignamajor	$196 - $442	88%
Humanamajor	$7 - $510	3%
Ambetter (Centene)	$261	117%
Healthcare Highways	$288 - $443	129%
HealthLink	$443 - $480	198%
Medica	$234	105%
+ 40 smaller / regional plans	$65 - $739

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 480), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Oklahoma City, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Oklahoma City, Inc

Compare: Breathing treatment (nebulizer) at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.