CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Colleton Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$208

about 0.9× the $224 Medicare rate · typically $72–$307

modeled estimate · not a bill or quote

What this hospital charges insurers

$72

Below the fair price — a good deal

about $136 under the fair price · 0.3× Medicare

Medicare pays $224 Fair price $208 This hospital $72 Cash price $716 Hospital's list price $716

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

One of the lower prices — 6 of 8 other SC hospitals charge more for the same procedure.

Cheapest $52 Priciest $137

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breathing treatment (nebulizer) is about $208 (about 0.9× the $224 Medicare rate). Colleton Medical Center charges insurers about $72, or about $716 in cash — below the fair price — a good deal. Located in Walterboro, SC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$11 - $395	5%
Blue Cross Blue Shieldmajor	$69 - $706	31%
Aetnamajor	$430	192%
Cignamajor	$480	215%
Humanamajor	$483 - $669	216%
Health Net	$334	149%
Molina	$134	60%
SelectHealth	$319	143%
+ 12 smaller / regional plans	$11 - $669

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 716), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Colleton Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Colleton Medical Center

Compare: Breathing treatment (nebulizer) at other SC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.