CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: UPMC Jameson

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$138
about 0.6× the $224 Medicare rate · typically $29–$235
modeled estimate · not a bill or quote
What this hospital charges insurers
$194
Above the fair price
about $56 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $138 This hospital $194 Cash price $190 Hospital's list price $316

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $194

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $138 (about 0.6× the $224 Medicare rate). UPMC Jameson charges insurers about $194, or about $190 in cash — above the fair price. Located in New Castle, PA.

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 $138. 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.

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 $116 - $194 52%
Blue Cross Blue Shieldmajor $25 - $209 11%
Aetnamajor $10 - $194 4%
Cignamajor $146 - $209 65%
Humanamajor $194 - $253 87%
AmeriHealth $209 93%
Geisinger $174 78%
UPMC Health Plan $35 - $202 16%
+ 3 smaller / regional plans $174 - $278
Excludes 1 rental-network / third-party entry (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.

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Facility Profile & Credentials

  • Address: 1211 Wilmington Avenue, New Castle, PA 16105
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals