CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: UPMC Presbyterian Shadyside

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$140
about 0.6× the $224 Medicare rate · typically $27–$225
modeled estimate · not a bill or quote
What this hospital charges insurers
$148
About the fair price
about $8 over the fair price · 0.7× Medicare
Medicare pays $224 Fair price $140 This hospital $148 Cash price $337 Hospital's list price $562

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 $148

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 $140 (about 0.6× the $224 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $148, or about $337 in cash — about the fair price. 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.

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 $140 - $209 63%
Blue Cross Blue Shieldmajor $25 - $281 11%
Aetnamajor $101 - $213 45%
Cignamajor $209 93%
Humanamajor $478 214%
AmeriHealth $209 93%
Fidelis Care $422 189%
Geisinger $309 138%
UPMC Health Plan $39 - $107 17%
+ 6 smaller / regional plans $209 - $478
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: 200 Lothrop Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals