CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$95
about 0.4× the $224 Medicare rate · typically $29–$236
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $3 over the fair price · 0.4× Medicare
Medicare pays $224 Fair price $95 This hospital $98 Cash price $142 Hospital's list price $236

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 $98

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 $95 (about 0.4× the $224 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $98, or about $142 in cash — about the fair price. Located in Pittsburgh, PA.

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 $92 - $464 41%
Blue Cross Blue Shieldmajor $70 - $206 31%
Aetnamajor $11 - $213 5%
Cignamajor $108 - $209 48%
AmeriHealth $209 93%
Geisinger $103 - $134 46%
UPMC Health Plan $66 - $82 30%
+ 6 smaller / regional plans $149 - $219
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: One Children's Hospital Drive, Pittsburgh, PA 15224
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens