CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Baptist Memorial Hospital - Carroll County

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 94640
  • Insurance Median: $306
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Baptist Memorial Hospital - Carroll County is $306. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.37x the Medicare baseline. Located in 631 Rb Wilson Dr, Huntingdon, TN.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$306

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)
Cash / Self-Pay: $58 (26%)
Insurance Median: $306 (137%)
Cash: $58 (26% of Medicare)
Ins. Median: $306 (137% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $13 - $195 6%
Ppo Holdings $95 42%
Magnolia Regional Health Center $100 45%
Littler $126 56%
UnitedHealthcare $145 65%
Cigna $153 - $251 68%
Aetna $157 - $195 70%
Wellpoint $162 - $195 72%
Humana $166 - $195 74%
First Choice Health Plan Of Ms $176 - $334 79%
Triwest $178 80%
Vaccn $186 83%
Veterans Evaluation Services $186 83%
Mpcn $188 84%
Multiplan $188 84%
Novasys $188 84%
American Health Plan $195 87%
Shared Health $195 87%
Ppo Plus $213 95%
Qca $226 101%
Arlington Community Schools $288 129%
Bartlett City Schools $306 137%
City Of Bartlett $306 137%
City Of Lakeland $306 137%
Collierville Schools $306 137%
Eas Mssc Schools $306 137%
Lakeland School System $306 137%
Town Of Collierville $306 137%
Oscar $312 139%
Magnolia Tn $314 140%
First State Bank Trust $316 141%
Armstrong Relocation $334 149%
Ashley Furniture Stores $334 149%
Brimhall Foods $334 149%
Building Plastic $334 149%
Burch Food Services $334 149%
Cannon Motor Company $334 149%
Carlisle $334 149%
Crittenden County $334 149%
Davidson Hospitality $334 149%
Desoto Co Board Of Supervisors $334 149%
Dunn Investment Company $334 149%
First Community Bank $334 149%
French Camp Academy $334 149%
Gossett Motor Cars $334 149%
Hattiesburg Clinic $334 149%
Heartland Catfish Company $334 149%
Heavy Machines $334 149%
Hollowell Industries $334 149%
Hospitality Management Advisors $334 149%
Jas D Collier $334 149%
Malco Theaters $334 149%
Mechanical Systems $334 149%
Mid-South Transport $334 149%
Patterson Warehouses $334 149%
Radians $334 149%
Rei Nation $334 149%
Retzer Resources $334 149%
Ritchey Automotive $334 149%
Security One $334 149%
Silver Tree $334 149%
State Systems $334 149%
United Tn Holdings $334 149%
Vaughn Electric $334 149%
W G Yates $334 149%
W W Wood Products $334 149%
Watkins Uiberall $334 149%
Y K Auto Group $334 149%
Employers Health Network $371 166%
Harding Academy $371 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 631 Rb Wilson Dr, Huntingdon, TN 38344
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals