CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Sky Lakes Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$161

about 0.7× the $224 Medicare rate · typically $71–$280

modeled estimate · not a bill or quote

What this hospital charges insurers

$226

Above the fair price

about $65 over the fair price · 1.0× Medicare

Medicare pays $224 Fair price $161 This hospital $226 Cash price $177 Hospital's list price $236

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

On the higher side — 7 of 8 other OR hospitals charge less.

Cheapest $23 Priciest $244

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 $161 (about 0.7× the $224 Medicare rate). Sky Lakes Medical Center charges insurers about $226, or about $177 in cash — above the fair price. Located in Klamath Falls, 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 $161. 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	$205 - $287	92%
Blue Cross Blue Shieldmajor	$205 - $728	92%
Aetnamajor	$205 - $287	92%
Cignamajor	$205 - $287	92%
Humanamajor	$205 - $287	92%
Kaiser Permanentemajor	$205 - $287	92%
GEHA	$205 - $287	92%
Health Net	$205 - $287	92%
HealthPartners	$205 - $287	92%
Moda Health	$169 - $287	76%
MVP Health Care	$205 - $287	92%
PacificSource	$185 - $258	83%
Providence Health Plan	$205 - $287	92%
Sanford Health Plan	$205 - $287	92%
UPMC Health Plan	$205 - $287	92%
WellCare	$226	101%
+ 201 smaller / regional plans	$205 - $287

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

Excludes 19 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 177), 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 Sky Lakes Medical Center 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 Sky Lakes Medical Center

Compare: Breathing treatment (nebulizer) at other OR hospitals

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