CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: St Charles Madras
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$122
about 0.5× the $224 Medicare rate · typically $24–$342
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $122 Cash price $358 Hospital's list price $447
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 | $18 - $575 | 8% |
| Blue Cross Blue Shieldmajor | $20 - $686 | 9% |
| Aetnamajor | $18 - $541 | 8% |
| Cignamajor | $18 - $392 | 8% |
| Humanamajor | $18 - $149 | 8% |
| Kaiser Permanentemajor | $18 - $539 | 8% |
| Devoted Health | $18 - $149 | 8% |
| Health Net | $18 - $585 | 8% |
| Moda Health | $66 - $535 | 30% |
| PacificSource | $31 - $340 | 14% |
| Providence Health Plan | $54 - $544 | 24% |
| UniCare | $18 - $149 | 8% |
| WellCare | $18 - $149 | 8% |
| + 66 smaller / regional plans | $18 - $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 Madras
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.