CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Harmon Memorial Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$118
about 0.5× the $224 Medicare rate · typically $9–$401
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $118 Cash price $552 Hospital's list price $552

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $1,043 466%
Aetnamajor $392 - $441 175%
Humanamajor $392 175%
+ 1 smaller / regional plan $392 - $469
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 400 East Chestnut Street, Hollis, OK 73550
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals