Breathing treatment (nebulizer)
Facility: UPMC Horizon
Billing Code: 94640 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $122 (about 0.5× the $224 Medicare rate). UPMC Horizon charges insurers about $204, or about $190 in cash — above the fair price. Located in Greenville, 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 $122. 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
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 | $104 - $207 | 46% |
| Blue Cross Blue Shieldmajor | $60 - $364 | 27% |
| Aetnamajor | $79 - $204 | 35% |
| Cignamajor | $123 - $209 | 55% |
| Humanamajor | $269 | 120% |
| AmeriHealth | $209 | 93% |
| Geisinger | $174 | 78% |
| UPMC Health Plan | $35 - $200 | 16% |
| + 5 smaller / regional plans | $174 - $259 |
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.
Other Procedures at UPMC Horizon
Compare: Breathing treatment (nebulizer) at other PA hospitals
- Chan Soon- Shiong Medical Center at Windber · Windber $25
- Jefferson Abington Hospital · Abington $28
- Grove City Medical Center · Grove City $32
- Magee Memorial Hospital for Convalescents · Philadelphia $32
- Titusville Area Hospital · Titusville $33
- Jefferson Lansdale Hospital · Lansdale $37
- UPMC Muncy · Muncy $41
- Allegheny Valley Hospital · Natrona $42
Insurance negotiated median for the same procedure, sorted lowest first.