CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Oakbend Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$256

about 1.1× the $224 Medicare rate · typically $67–$342

modeled estimate · not a bill or quote

What this hospital charges insurers

$185

Below the fair price — a good deal

about $71 under the fair price · 0.8× Medicare

Medicare pays $224 Fair price $256 This hospital $185 Cash price $40 Hospital's list price $202

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 $185

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 $256 (about 1.1× the $224 Medicare rate). Oakbend Medical Center charges insurers about $185, or about $40 in cash — below the fair price — a good deal. Located in Richmond, 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	$185	83%
Blue Cross Blue Shieldmajor	$44 - $220	20%
Aetnamajor	$97	43%
Cignamajor	$125	56%
Humanamajor	$112 - $131	50%
Ambetter (Centene)	$220 - $232	98%
Friday Health	$220 - $275	98%
Oscar Health	$123	55%
WellCare	$212	95%
+ 1 smaller / regional plan	$222

Government programs also on file: Medicare, Medicaid.

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 40), 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 Oakbend 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 Oakbend Medical Center

Compare: Breathing treatment (nebulizer) at other TX hospitals

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