CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Paoli Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$212
about 0.9× the $224 Medicare rate · typically $33–$256
modeled estimate · not a bill or quote
What this hospital charges insurers
$250
Above the fair price
about $38 over the fair price · 1.1× Medicare
Medicare pays $224 Fair price $212 This hospital $250 Cash price $157 Hospital's list price $393

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 $250

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 $212 (about 0.9× the $224 Medicare rate). Paoli Hospital charges insurers about $250, or about $157 in cash — above the fair price. Located in Paoli, 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 $212. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $251 112%
Blue Cross Blue Shieldmajor $225 - $281 101%
Aetnamajor $245 110%
Humanamajor $229 102%
Devoted Health $241 108%
Geisinger $252 113%
HealthPartners $236 105%
+ 1 smaller / regional plan $247

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: 255 West Lancaster Avenue, Paoli, PA 19301
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals