CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$99
about 0.4× the $224 Medicare rate · typically $22–$354
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
Below the fair price — a good deal
about $76 under the fair price · 0.1× Medicare
Medicare pays $224 Fair price $99 This hospital $23 Cash price $43 Hospital's list price $144

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Lowest price of the 9 OR hospitals we have prices for — a strong deal.

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 $99 (about 0.4× the $224 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $23, or about $43 in cash — below the fair price — a good deal. Located in Ontario, OR.

What each insurance company pays

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

5 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 $8 - $255 4%
Blue Cross Blue Shieldmajor $15 - $798 7%
Aetnamajor $79 - $263 35%
Cignamajor $22 - $248 10%
Humanamajor $17 - $232 8%
Ambetter (Centene) $79 35%
Dean Health Plan $238 106%
GEHA $23 - $253 10%
Health Net $79 - $222 35%
HealthPartners $79 - $206 35%
Meridian $79 35%
Moda Health $14 - $506 6%
Molina $79 35%
PacificSource $22 - $248 10%
Paramount $79 - $238 35%
Presbyterian $79 35%
Priority Health $248 111%
SelectHealth $14 - $238 6%
Tufts Health Plan $79 35%
WellSense $79 35%
+ 94 smaller / regional plans $6 - $798
Government programs also on file: Medicare, Medicaid.
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

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 351 Sw 9Th Street, Ontario, OR 97914
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals