CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Mercy Hospital Ada
Billing Code: 94640 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$171
about 0.8× the $224 Medicare rate · typically $77–$231
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $171 Cash price $113 Hospital's list price $174
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 | $80 - $203 | 36% |
| Blue Cross Blue Shieldmajor | $203 | 91% |
| Aetnamajor | $7 - $203 | 3% |
| Cignamajor | $209 | 93% |
| Humanamajor | $7 - $207 | 3% |
| Ambetter (Centene) | $280 | 125% |
| Healthcare Highways | $68 - $130 | 30% |
| HealthLink | $104 | 46% |
| Independent Health | $203 | 91% |
| Medica | $81 - $174 | 36% |
| + 34 smaller / regional plans | $78 - $457 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Hospital Ada
Compare: Breathing treatment (nebulizer) at other OK hospitals
- Weatherford Regional Hospital, Inc of Weatherford · Weatherford $25
- Ascension St John Sapulpa · Sapulpa $31
- Choctaw Memorial Hospital · Hugo $32
- Ascension St John Nowata · Nowata $38
- Mercy Hospital Logan County · Guthrie $44
- McBride Orthopedic Hospital · Oklahoma City $53
- Beaver County Memorial Hospital · Beaver $56
- Mercy Rehabilitation Hospital Oklahoma City · Oklahoma City $132
Insurance negotiated median for the same procedure, sorted lowest first.