Breathing treatment (nebulizer)
Facility: Penn Highlands Connellsville
Billing Code: 94640 (CPT)
This hospital's typical commercial price is $186 compared to the $134 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
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.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Breathing treatment (nebulizer) is about $134 (about 0.6× the $224 Medicare rate). Penn Highlands Connellsville charges insurers about $186, or about $1,477 in cash — above the fair price. Located in Connellsville, 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 $134. 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
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 | $7 - $374 | 3% |
| Blue Cross Blue Shieldmajor | $7 - $830 | 3% |
| Aetnamajor | $1,920 | 858% |
| Cignamajor | $862 | 385% |
| Geisinger | $7 - $196 | 3% |
| UPMC Health Plan | $8 - $1,354 | 4% |
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 Penn Highlands Connellsville
Compare: Breathing treatment (nebulizer) at other PA hospitals
- Chan Soon- Shiong Medical Center at Windber · Windber $25
- Jefferson Abington Hospital · Abington $29
- Grove City Medical Center · Grove City $32
- Titusville Area Hospital · Titusville $33
- Magee Memorial Hospital for Convalescents · Philadelphia $33
- Fulton County Medical Center · McConnellsburg $35
- UPMC Muncy · Muncy $41
- Allegheny Valley Hospital · Natrona $42
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Penn Highlands Connellsville (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $894
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $894).
Self-Pay Cash Rate ($1,477) Beats Your Bill
Penn Highlands Connellsville's published 45 CFR § 180 self-pay cash rate is $1,477 (vs. $186 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $134 Fair BaseRate ($224 Medicare)
Your bill ($2,462) is $2,328 above the denoised Fair BaseRate ($134) and 11.0× the $224 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.