CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Wellspan Ephrata Community Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$233
about 1.0× the $224 Medicare rate · typically $52–$628
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $233 Cash price $246 Hospital's list price $308
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✓ Cigna HumanaKaiser 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 | $290 | 130% |
| Blue Cross Blue Shieldmajor | $139 - $901 | 62% |
| Aetnamajor | $202 - $238 | 90% |
| Cignamajor | $188 - $197 | 84% |
| Geisinger | $200 | 89% |
| UPMC Health Plan | $200 - $246 | 89% |
| + 1 smaller / regional plan | $200 - $211 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Wellspan Ephrata Community Hospital
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.