Breathing treatment (nebulizer)
Facility: St Mary Medical Center
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 $210 (about 0.9× the $224 Medicare rate). St Mary Medical Center charges insurers about $245, or about $228 in cash — above the fair price. Located in Langhorne, 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 $210. 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 | $169 - $204 | 76% |
| Blue Cross Blue Shieldmajor | $196 - $638 | 88% |
| Aetnamajor | $122 - $312 | 55% |
| Cignamajor | $222 - $238 | 99% |
| Ambetter (Centene) | $421 | 188% |
| AmeriHealth | $196 | 88% |
| GEHA | $185 | 83% |
| Oscar Health | $425 | 190% |
| UPMC Health Plan | $236 | 105% |
| + 9 smaller / regional plans | $46 - $531 |
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 St Mary Medical Center
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.