CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Jefferson Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$100
about 0.4× the $224 Medicare rate · typically $19–$227
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
Below the fair price — a good deal
about $58 under the fair price · 0.2× Medicare
Medicare pays $224 Fair price $100 This hospital $42 Cash price $509 Hospital's list price $628

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 $42

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ 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 $100 (about 0.4× the $224 Medicare rate). Jefferson Hospital charges insurers about $42, or about $509 in cash — below the fair price — a good deal. Located in Jefferson Hills, PA.

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 $31 - $641 14%
Blue Cross Blue Shieldmajor $9 - $321 4%
Aetnamajor $203 - $477 91%
Cignamajor $12 - $481 5%
Humanamajor $207 93%
AmeriHealth $205 92%
Medical Mutual $481 215%
Molina $213 95%
+ 5 smaller / regional plans $6 - $196
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 565 Coal Valley Road, Jefferson Hills, PA 15025
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals