CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Christus Southeast Texas- St Elizabeth

Billing Code: 94640 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$219

about 1.0× the $224 Medicare rate · typically $100–$242

modeled estimate · not a bill or quote

What this hospital charges insurers

$219

About the fair price

1.0× Medicare

Medicare pays $224 Fair price $219 This hospital $219 Cash price $236 Hospital's list price $715

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $24 Priciest $219

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $219 (about 1.0× the $224 Medicare rate). Christus Southeast Texas- St Elizabeth charges insurers about $219, or about $236 in cash — about the fair price. Located in Beaumont, TX.

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	$49 - $356	22%
Blue Cross Blue Shieldmajor	$204 - $877	91%
Aetnamajor	$204 - $650	91%
Cignamajor	$245 - $313	110%
Humanamajor	$184 - $204	82%
Amerigroup	$59 - $220	26%
Cigna HealthSpring	$204	91%
Devoted Health	$220	98%
Health Net	$293 - $801	131%
Healthcare Highways	$220 - $424	98%
Molina	$146 - $283	65%
WellCare	$204	91%
+ 19 smaller / regional plans	$54 - $754

Government programs also on file: Medicare, Military & VA.

Excludes 6 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 236), 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 Christus Southeast Texas- St Elizabeth 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 Christus Southeast Texas- St Elizabeth

Compare: Breathing treatment (nebulizer) at other TX hospitals

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