CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Physicians Care Surgical Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$203
about 0.9× the $224 Medicare rate · typically $27–$713
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Below the fair price — a good deal
about $157 under the fair price · 0.2× Medicare
Medicare pays $224 Fair price $203 This hospital $46 Cash price $34 Hospital's list price $253

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 $46

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 $203 (about 0.9× the $224 Medicare rate). Physicians Care Surgical Hospital charges insurers about $46, or about $34 in cash — below the fair price — a good deal. Located in Royersford, 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 $42 - $90 19%
Blue Cross Blue Shieldmajor $42 - $376 19%
Aetnamajor $42 - $101 19%
Cignamajor $42 19%
Humanamajor $42 19%
AmeriHealth $46 21%
GEHA $101 45%
+ 39 smaller / regional plans $42 - $211
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 454 Enterprise Drive, Royersford, PA 19468
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals