CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Parkridge Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$118

about 0.5× the $224 Medicare rate · typically $29–$254

modeled estimate · not a bill or quote

Medicare pays $224 Fair price $118 Cash price $744 Hospital's list price $744

How we calculate the fair BaseRate →

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	$248 - $365	111%
Blue Cross Blue Shieldmajor	$10 - $251	4%
Aetnamajor	$203 - $405	91%
Cignamajor	$182 - $648	81%
Humanamajor	$181 - $527	81%
Ambetter (Centene)	$106 - $130	47%
Amerigroup	$110 - $123	49%
Bright Health	$123 - $195	55%
Health Net	$507 - $567	227%
WellCare	$145 - $162	65%
+ 11 smaller / regional plans	$133 - $648

Government programs also on file: Medicaid.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 744), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Parkridge Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Parkridge Medical Center

Compare: Breathing treatment (nebulizer) at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.