CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: UPMC St Margaret

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$131
about 0.6× the $224 Medicare rate · typically $26–$235
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
Below the fair price — a good deal
about $34 under the fair price · 0.4× Medicare
Medicare pays $224 Fair price $131 This hospital $97 Cash price $71 Hospital's list price $119

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 $97

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 $131 (about 0.6× the $224 Medicare rate). UPMC St Margaret charges insurers about $97, or about $71 in cash — below the fair price — a good deal. Located in Pittsburgh, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $25 - $209 11%
Aetnamajor $30 - $213 13%
Cignamajor $33 - $48 15%
Humanamajor $101 45%
UPMC Health Plan $38 - $167 17%
+ 3 smaller / regional plans $65 - $209
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: 815 Freeport Road, Pittsburgh, PA 15215
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals