CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Curry General Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $387
Cash Discount Price: $407
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Curry General Hospital is $387. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $407. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.73x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$407

Average discount available for prompt cash payment at this facility.

Insurance Median

$387

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)

Cash / Self-Pay: $407 (182%)

Insurance Median: $387 (173%)

Cash: $407 (182% of Medicare)

Ins. Median: $387 (173% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
First Choice Health Admin [1294]	$24	11%
First Choice [528]	$24	11%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$24	11%
Tricare	$127	57%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$176	79%
Medicare (plans)	$176 - $265	79%
Blue Cross Blue Shield	$208 - $407	93%
Medicaid / KanCare	$256 - $265	114%
Department Of Corrections [1051]	$265	118%
Coordinated Care Commercial [1649]	$346	155%
Pacificsource [1148]	$346	155%
Moda [512]	$349 - $366	156%
Multiplan [1131]	$370	165%
Asuris [1258]	$387	173%
Operating Engineers [1144]	$387	173%
Regence [1351]	$387 - $407	173%
Cigna	$399 - $407	178%
Coventry First Health Managed Care [1774]	$399	178%
Coventry Health [1046]	$399	178%
Providence Health Plan Plm Alt [1692]	$399	178%
Providence Health Plan [567]	$399	178%
Aetna	$407	182%
Employee Bene Admin Mgmt [525]	$407	182%
Geha [531]	$407	182%
Mailhandlers Benefit Pln [547]	$407	182%
Meritain [550]	$407	182%
Nw Sheet Metal Workers [597]	$407	182%
Trustmark [524]	$407	182%
UnitedHealthcare	$407	182%
Zenith Administrators [586]	$407	182%
Allcare Alt [2598]	$2,000	894%
Allcare [1695]	$2,000	894%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $407.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 94640.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Curry General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 94640.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.