CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Douglas County Memorial Hospital-Cah
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$47
about 0.2× the $224 Medicare rate · typically $10–$298
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $47 Cash price $137 Hospital's list price $157
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $133 | 59% |
| Blue Cross Blue Shieldmajor | $156 - $157 | 70% |
| Sanford Health Plan | $9 - $152 | 4% |
| + 1 smaller / regional plan | $148 - $149 |
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Other Procedures at Douglas County Memorial Hospital-Cah
Compare: Breathing treatment (nebulizer) at other SD hospitals
- Huron Regional Medical Center · Huron $33
- Monument Health Rapid City Hospital · Rapid City $123
- Sanford Usd Medical Center · Sioux Falls $200
- Dunes Surgical Hospital · Dakota Dunes $218
- Brookings Health System · Brookings $229
Insurance negotiated median for the same procedure, sorted lowest first.