Breathing treatment (nebulizer)
Facility: Prisma Health Tuomey Hospital
Billing Code: 94640 (CPT)
Highest price of the 9 SC hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.
A fair price for a Breathing treatment (nebulizer) is about $189 (about 0.8× the $224 Medicare rate). Prisma Health Tuomey Hospital charges insurers about $205, or about $306 in cash — about the fair price. Located in Sumter, 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
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 | $72 - $256 | 32% |
| Blue Cross Blue Shieldmajor | $36 - $205 | 16% |
| Aetnamajor | $215 - $371 | 96% |
| Cignamajor | $205 - $360 | 92% |
| Humanamajor | $12 - $352 | 5% |
| Ambetter (Centene) | $377 | 169% |
| Molina | $215 | 96% |
| WellCare | $215 | 96% |
| + 16 smaller / regional plans | $36 - $437 |
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.
Other Procedures at Prisma Health Tuomey Hospital
Compare: Breathing treatment (nebulizer) at other SC hospitals
- Grand Strand Regional Medical Center · Myrtle Beach $52
- Trident Medical Center · Charleston $53
- Colleton Medical Center · Walterboro $72
- Piedmont Medical Center · Rock Hill $85
- Conway Medical Center · Conway $94
- MUSC Medical Center · Charleston $108
- MUSC Health Marion Medical Center · Mullins $119
- MUSC Health Florence Medical Center · Florence $122
Insurance negotiated median for the same procedure, sorted lowest first.