CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Doctors' Center Bayamon
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$73
about 0.3× the $224 Medicare rate · typically $10–$202
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $73 Cash price $53 Hospital's list price $53
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 | $20 | 9% |
| + 3 smaller / regional plans | $13 - $15 |
Government programs also on file: Medicare.
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