CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Jefferson Einstein Philadelphia Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$213
about 1.0× the $224 Medicare rate · typically $35–$260
modeled estimate · not a bill or quote
What this hospital charges insurers
$220
About the fair price
about $7 over the fair price · 1.0× Medicare
Medicare pays $224 Fair price $213 This hospital $220 Cash price $238

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 $220

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 $213 (about 1.0× the $224 Medicare rate). Jefferson Einstein Philadelphia Hospital charges insurers about $220, or about $238 in cash — about the fair price. Located in Philadelphia, PA.

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 $212 - $323 95%
Blue Cross Blue Shieldmajor $218 97%
Aetnamajor $20 - $220 9%
Cignamajor $216 - $516 97%
Humanamajor $207 93%
Geisinger $238 - $845 106%
UPMC Health Plan $218 - $446 97%
WellCare $228 102%
+ 2 smaller / regional plans $173 - $331

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Facility Profile & Credentials

  • Address: 5501 Old York Road, Philadelphia, PA 19141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals