CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: St Lukes Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$173
about 0.8× the $224 Medicare rate · typically $66–$214
modeled estimate · not a bill or quote
What this hospital charges insurers
$212
Above the fair price
about $39 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $173 This hospital $212 Cash price $401 Hospital's list price $483

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 $212

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 $173 (about 0.8× the $224 Medicare rate). St Lukes Hospital charges insurers about $212, or about $401 in cash — above the fair price. Located in Bethlehem, 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 $173. 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 $140 - $225 63%
Blue Cross Blue Shieldmajor $65 - $676 29%
Aetnamajor $166 - $212 74%
Cignamajor $132 59%
Humanamajor $217 97%
Geisinger $136 - $212 61%
Oscar Health $125 56%
UPMC Health Plan $132 - $219 59%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 801 Ostrum Street, Bethlehem, PA 18015
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals