CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Lancaster General Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$155
about 0.7× the $224 Medicare rate · typically $44–$355
modeled estimate · not a bill or quote
What this hospital charges insurers
$167
About the fair price
about $12 over the fair price · 0.7× Medicare
Medicare pays $224 Fair price $155 This hospital $167 Cash price $166 Hospital's list price $166

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 $167

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 $155 (about 0.7× the $224 Medicare rate). Lancaster General Hospital charges insurers about $167, or about $166 in cash — about the fair price. Located in Lancaster, PA.

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 $118 - $363 53%
Blue Cross Blue Shieldmajor $45 - $366 20%
Aetnamajor $94 - $246 42%
Cignamajor $105 - $304 47%
AmeriHealth $227 101%
Devoted Health $234 105%
Geisinger $118 - $309 53%
HealthPartners $229 102%
Oscar Health $434 194%
UPMC Health Plan $35 - $309 16%
+ 24 smaller / regional plans $26 - $13,500
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals