CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Wellspan Good Samaritan Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$212
about 0.9× the $224 Medicare rate · typically $56–$319
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $212 Cash price $310 Hospital's list price $387

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 $363 162%
Blue Cross Blue Shieldmajor $158 - $732 71%
Aetnamajor $70 - $314 31%
Cignamajor $247 110%
Geisinger $232 104%
UPMC Health Plan $232 104%
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: 252 South 4Th Street, Lebanon, PA 17042
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals