CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Northeastern Health System

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$179
about 0.8× the $224 Medicare rate · typically $35–$397
modeled estimate · not a bill or quote
What this hospital charges insurers
$394
Well above the fair price
about $215 over the fair price · 1.8× Medicare
Medicare pays $224 Fair price $179 This hospital $394 Cash price $247 Hospital's list price $438

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 $394

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 $179 (about 0.8× the $224 Medicare rate). Northeastern Health System charges insurers about $394, or about $247 in cash — well above the fair price. Located in Tahlequah, OK.

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 $179. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $84 - $33,913 38%
Blue Cross Blue Shieldmajor $71 - $5,842 32%
Aetnamajor $394 - $1,034 176%
Humanamajor $6 - $7,230 3%
Ambetter (Centene) $586 - $10,372 262%
Medica $271 121%
+ 2 smaller / regional plans $394 - $406
Government programs also on file: Medicare, Medicaid, Military & VA.

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.

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Facility Profile & Credentials

  • Address: 1400 East Downing Street, Tahlequah, OK 74465
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals