CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Mangum Regional Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $321
Cash Discount Price: $293
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Mangum Regional Medical Center is $321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.43x the Medicare baseline. Located in 1 Wickersham Drive, Mangum, OK.

Cash / Self-Pay

$293

Average discount available for prompt cash payment at this facility.

Insurance Median

$321

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)

Cash / Self-Pay: $293 (131%)

Insurance Median: $321 (143%)

Cash: $293 (131% of Medicare)

Ins. Median: $321 (143% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$96 - $293	43%
Tricare	$235	105%
Aetna	$275 - $611	123%
Blue Cross Blue Shield	$293 - $519	131%
Ok Cmplte Wellcare	$293	131%
Humana	$296 - $611	132%
Healthchoice Ip/Op Only- All Plans	$313	140%
Hs Technology - All Plans	$330	148%
Ambetter / Centene	$425	190%
Cigna	$428	191%
Preferred Community Ppo Ip/Op Only- All Plans	$489	219%
Ok Cmplte Soonerselect Mcaid	$611	273%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $293.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 94640.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mangum Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 94640.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.