CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: St Charles Medical Center - Bend

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$171

about 0.8× the $224 Medicare rate · typically $59–$313

modeled estimate · not a bill or quote

What this hospital charges insurers

$261

Above the fair price

about $90 over the fair price · 1.2× Medicare

Medicare pays $224 Fair price $171 This hospital $261 Cash price $359 Hospital's list price $448

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $23 Priciest $261

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $171 (about 0.8× the $224 Medicare rate). St Charles Medical Center - Bend charges insurers about $261, or about $359 in cash — above the fair price. Located in Bend, OR.

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 $171. 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.

6 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	$261 - $575	117%
Blue Cross Blue Shieldmajor	$287 - $686	128%
Aetnamajor	$261 - $541	117%
Cignamajor	$207 - $392	93%
Humanamajor	$261	117%
Kaiser Permanentemajor	$203 - $539	91%
Devoted Health	$261	117%
Health Net	$261 - $585	117%
Moda Health	$282 - $535	126%
PacificSource	$131 - $340	59%
Providence Health Plan	$230 - $544	103%
UniCare	$261	117%
WellCare	$261	117%
+ 69 smaller / regional plans	$114 - $686

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 359), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm St Charles Medical Center - Bend is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Charles Medical Center - Bend

Compare: Breathing treatment (nebulizer) at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.