CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Duncan Regional Hospital, Inc
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$251
about 1.1× the $224 Medicare rate · typically $70–$452
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $251 Hospital's list price $318
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 | $183 - $218 | 82% |
| Blue Cross Blue Shieldmajor | $1,064 - $1,671 | 476% |
| Aetnamajor | $229 - $272 | 102% |
| Cignamajor | $242 - $288 | 108% |
| Humanamajor | $207 | 93% |
| Friday Health | $529 | 236% |
| Health Net | $215 - $256 | 96% |
| Healthcare Highways | $118 - $208 | 53% |
| Medica | $113 - $134 | 51% |
| + 2 smaller / regional plans | $242 - $294 |
Excludes 2 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
Other Procedures at Duncan Regional Hospital, Inc
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.