CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: UPMC Williamsport

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$99
about 0.4× the $224 Medicare rate · typically $27–$195
modeled estimate · not a bill or quote
What this hospital charges insurers
$198
Well above the fair price
about $99 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $99 This hospital $198 Cash price $193 Hospital's list price $322

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 $198

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 $99 (about 0.4× the $224 Medicare rate). UPMC Williamsport charges insurers about $198, or about $193 in cash — well above the fair price. Located in Williamsport, 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 $99. 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 $150 - $327 67%
Blue Cross Blue Shieldmajor $98 - $224 44%
Aetnamajor $87 - $315 39%
Cignamajor $169 - $327 76%
AmeriHealth $200 89%
Geisinger $165 - $320 74%
UPMC Health Plan $38 - $208 17%
+ 4 smaller / regional plans $136 - $382
Excludes 3 rental-network / third-party entries (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: 700 High Street, Williamsport, PA 17701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals