CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Gettysburg Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$272
about 1.2× the $224 Medicare rate · typically $93–$649
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $272 Cash price $239 Hospital's list price $299

How we calculate the fair BaseRate →

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 $283 126%
Blue Cross Blue Shieldmajor $168 - $1,217 75%
Aetnamajor $215 - $274 96%
Cignamajor $269 - $278 120%
Geisinger $284 127%
UPMC Health Plan $239 - $278 107%
+ 1 smaller / regional plan $208 - $278
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 147 Gettys Street, Gettysburg, PA 17325
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals