CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: St Marys Rehabilitation Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$95
about 0.4× the $224 Medicare rate · typically $13–$261
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $95 Cash price $100 Hospital's list price $100
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $81 - $174 | 36% |
| Aetnamajor | $81 - $174 | 36% |
| Cignamajor | $81 - $174 | 36% |
| Humanamajor | $81 - $174 | 36% |
| Ambetter (Centene) | $81 - $174 | 36% |
| + 11 smaller / regional plans | $81 - $174 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at St Marys Rehabilitation 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.