CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: UPMC Memorial

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$226
about 1.0× the $224 Medicare rate · typically $43–$469
modeled estimate · not a bill or quote
What this hospital charges insurers
$205
About the fair price
about $21 under the fair price · 0.9× Medicare
Medicare pays $224 Fair price $226 This hospital $205 Cash price $418 Hospital's list price $697

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 $205

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 $226 (about 1.0× the $224 Medicare rate). UPMC Memorial charges insurers about $205, or about $418 in cash — about the fair price. Located in York, 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 $153 - $613 68%
Blue Cross Blue Shieldmajor $20 - $687 9%
Aetnamajor $203 - $396 91%
Cignamajor $205 - $544 92%
Geisinger $205 - $503 92%
UPMC Health Plan $36 - $488 16%
+ 4 smaller / regional plans $115 - $519
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: 1701 Innovation Drive, York, PA 17408
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals