CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: UPMC Passavant
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$139
about 0.6× the $224 Medicare rate · typically $27–$225
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $139 Cash price $71 Hospital's list price $119
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 | $204 - $213 | 91% |
| Blue Cross Blue Shieldmajor | $25 - $209 | 11% |
| Aetnamajor | $30 - $213 | 13% |
| Cignamajor | $40 - $48 | 18% |
| Humanamajor | $101 - $111 | 45% |
| AmeriHealth | $209 | 93% |
| UPMC Health Plan | $38 - $180 | 17% |
| + 4 smaller / regional plans | $44 - $209 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at UPMC Passavant
Compare: Breathing treatment (nebulizer) at other PA hospitals
- Chan Soon- Shiong Medical Center at Windber · Windber $25
- Jefferson Abington Hospital · Abington $28
- Grove City Medical Center · Grove City $32
- Magee Memorial Hospital for Convalescents · Philadelphia $32
- Titusville Area Hospital · Titusville $33
- Jefferson Lansdale Hospital · Lansdale $37
- UPMC Muncy · Muncy $41
- Allegheny Valley Hospital · Natrona $42
Insurance negotiated median for the same procedure, sorted lowest first.