CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Indiana Regional Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$155
about 0.7× the $224 Medicare rate · typically $25–$197
modeled estimate · not a bill or quote
What this hospital charges insurers
$197
Above the fair price
about $42 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $155 This hospital $197 Cash price $283 Hospital's list price $786

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 $197

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 $155 (about 0.7× the $224 Medicare rate). Indiana Regional Medical Center charges insurers about $197, or about $283 in cash — above the fair price. Located in Indiana, 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 $155. 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.

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 $8 - $511 4%
Blue Cross Blue Shieldmajor $8 - $629 4%
Aetnamajor $8 - $699 4%
Cignamajor $8 - $542 4%
Humanamajor $8 - $225 4%
Ambetter (Centene) $8 - $314 4%
AmeriHealth $8 - $236 4%
Geisinger $8 - $640 4%
UPMC Health Plan $8 - $362 4%
+ 4 smaller / regional plans $11 - $786
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (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: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals