CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: St Charles Medical Center Prineville
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$121
about 0.5× the $224 Medicare rate · typically $26–$346
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $121 Cash price $359 Hospital's list price $448
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 | $92 - $575 | 41% |
| Blue Cross Blue Shieldmajor | $101 - $686 | 45% |
| Aetnamajor | $92 - $541 | 41% |
| Cignamajor | $92 - $392 | 41% |
| Humanamajor | $92 - $174 | 41% |
| Kaiser Permanentemajor | $92 - $539 | 41% |
| Devoted Health | $92 - $174 | 41% |
| Health Net | $92 - $585 | 41% |
| Moda Health | $282 - $535 | 126% |
| PacificSource | $131 - $340 | 59% |
| Providence Health Plan | $230 - $544 | 103% |
| UniCare | $92 - $174 | 41% |
| WellCare | $92 - $174 | 41% |
| + 66 smaller / regional plans | $92 - $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.
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Other Procedures at St Charles Medical Center Prineville
Compare: Breathing treatment (nebulizer) at other OR hospitals
- Saint Alphonsus Medical Center Ontario · Ontario $23
- Curry General Hospital · Gold Beach $24
- Mid-Columbia Medical Center · The Dalles $31
- Vibra Specialty Hospital of Portland · Portland $54
- Harney District Hospital · Burns $108
- Mercy Medical Center · Roseburg $193
- OHSU Hospital and Clinics · Portland $197
- Sky Lakes Medical Center · Klamath Falls $226
Insurance negotiated median for the same procedure, sorted lowest first.