CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Presbyterian Community Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$54
about 0.2× the $224 Medicare rate · typically $13–$126
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $54 Hospital's list price $40
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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 |
|---|---|---|
| Humanamajor | $8 - $12 | 4% |
| + 10 smaller / regional plans | $6 - $20 |