CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Harney District Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$87

about 0.4× the $224 Medicare rate · typically $9–$275

modeled estimate · not a bill or quote

What this hospital charges insurers

$108

Above the fair price

about $21 over the fair price · 0.5× Medicare

Medicare pays $224 Fair price $87 This hospital $108 Cash price $280 Hospital's list price $350

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

A typical price — 4 charge more and 4 charge less, among the 9 OR hospitals compared.

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 $87 (about 0.4× the $224 Medicare rate). Harney District Hospital charges insurers about $108, or about $280 in cash — above the fair price. Located in Burns, 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 $87. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$61 - $403	27%
Blue Cross Blue Shieldmajor	$86 - $720	38%
Aetnamajor	$87 - $679	39%
Cignamajor	$86 - $677	38%
Health Net	$145 - $684	65%
Moda Health	$87 - $662	39%
Providence Health Plan	$145 - $684	65%
+ 2 smaller / regional plans	$6 - $677

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 280), 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 Harney District Hospital 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 Harney District Hospital

Compare: Breathing treatment (nebulizer) at other OR hospitals

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