CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Hospital of Univ of Pennsylvania

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$128
about 0.6× the $224 Medicare rate · typically $21–$356
modeled estimate · not a bill or quote
What this hospital charges insurers
$384
Well above the fair price
about $256 over the fair price · 1.7× Medicare
Medicare pays $224 Fair price $128 This hospital $384 Cash price $598 Hospital's list price $598

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 $384

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 $128 (about 0.6× the $224 Medicare rate). Hospital of Univ of Pennsylvania charges insurers about $384, or about $598 in cash — well above the fair price. Located in Philadelphia, 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 $128. 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.

6 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 $77 - $1,233 34%
Blue Cross Blue Shieldmajor $51 - $752 23%
Aetnamajor $43 - $1,233 19%
Cignamajor $66 - $555 30%
Humanamajor $152 - $986 68%
Kaiser Permanentemajor $114 - $1,233 51%
Clover Health $249 111%
Devoted Health $242 108%
Geisinger $237 - $730 106%
Health Net $114 - $740 51%
HealthPartners $18 - $1,233 8%
Oscar Health $391 175%
UPMC Health Plan $48 - $1,233 21%
+ 39 smaller / regional plans $19 - $1,233
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals