CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Rhode Island Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$197
about 0.9× the $224 Medicare rate · typically $70–$286
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $197 Cash price $219 Hospital's list price $219
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $223 - $441 | 100% |
| Aetnamajor | $252 | 113% |
| Cignamajor | $246 - $1,035 | 110% |
| Harvard Pilgrim | $168 | 75% |
| Tufts Health Plan | $765 | 342% |
Self-Pay How to get the cash price
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Other Procedures at Rhode Island Hospital
Compare: Breathing treatment (nebulizer) at other RI hospitals
Insurance negotiated median for the same procedure, sorted lowest first.