CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Prisma Health Baptist

Billing Code: 94640 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$202
about 0.9× the $224 Medicare rate · typically $108–$274
modeled estimate · not a bill or quote
What this hospital charges insurers
$211
About the fair price
about $9 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $202 This hospital $211 Cash price $306 Hospital's list price $470

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $52 Priciest $211

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 $202 (about 0.9× the $224 Medicare rate). Prisma Health Baptist charges insurers about $211, or about $306 in cash — about the fair price. Located in Columbia, 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 $72 - $1,400 32%
Blue Cross Blue Shieldmajor $85 - $211 38%
Aetnamajor $221 - $371 99%
Cignamajor $211 - $326 94%
Humanamajor $15 - $352 7%
Ambetter (Centene) $388 173%
Molina $221 99%
WellCare $221 99%
+ 17 smaller / regional plans $85 - $1,400
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1330 Taylor at Marion St, Columbia, SC 29220
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals