CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: West Penn Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$111
about 0.5× the $224 Medicare rate · typically $19–$236
modeled estimate · not a bill or quote
What this hospital charges insurers
$180
Above the fair price
about $69 over the fair price · 0.8× Medicare
Medicare pays $224 Fair price $111 This hospital $180 Cash price $483 Hospital's list price $661

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 $180

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 $111 (about 0.5× the $224 Medicare rate). West Penn Hospital charges insurers about $180, or about $483 in cash — above the fair price. Located in Pittsburgh, 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 $111. 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 $31 - $687 14%
Blue Cross Blue Shieldmajor $9 - $497 4%
Aetnamajor $203 - $648 91%
Cignamajor $12 - $649 5%
Humanamajor $207 93%
AmeriHealth $205 92%
Medical Mutual $649 290%
Molina $213 95%
+ 3 smaller / regional plans $42 - $196
Government programs also on file: Medicare.

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: 4800 Friendship Avenue, Pittsburgh, PA 15224
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals