CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Sanford Usd Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$192
about 0.9× the $224 Medicare rate · typically $86–$204
modeled estimate · not a bill or quote
What this hospital charges insurers
$200
About the fair price
about $8 over the fair price · 0.9× Medicare
Medicare pays $224 Fair price $192 This hospital $200 Cash price $288 Hospital's list price $360

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

A typical price — 2 charge more and 2 charge less, among the 5 SD hospitals compared.

Cheapest $33 Priciest $229

Black dot = this hospital, among the 5 SD hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $192 (about 0.9× the $224 Medicare rate). Sanford Usd Medical Center charges insurers about $200, or about $288 in cash — about the fair price. Located in Sioux Falls, SD.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $209 - $868 93%
Blue Cross Blue Shieldmajor $65 - $209 29%
Aetnamajor $209 - $754 93%
Health Net $284 - $886 127%
HealthPartners $106 - $384 47%
Medica $212 - $710 95%
Sanford Health Plan $8 - $193 4%
Security Health Plan $173 - $542 77%
UCare $207 - $692 93%
+ 2 smaller / regional plans $214 - $886
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD 57117
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals