CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: The Miriam 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 | $196 - $460 | 88% |
| Aetnamajor | $252 | 113% |
| Cignamajor | $1,383 | 618% |
| Harvard Pilgrim | $170 | 76% |
| Tufts Health Plan | $675 | 302% |
| + 1 smaller / regional plan | $450 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at The Miriam Hospital
Compare: Breathing treatment (nebulizer) at other RI hospitals
Insurance negotiated median for the same procedure, sorted lowest first.