CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Childress Regional Medical Center

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $366
Cash Discount Price: $496
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Childress Regional Medical Center is $366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $496. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.64x the Medicare baseline. Located in Hwy 83 North, Childress, TX.

Cash / Self-Pay

$496

Average discount available for prompt cash payment at this facility.

Insurance Median

$366

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: $496 (222%)

Insurance Median: $366 (164%)

Cash: $496 (222% of Medicare)

Ins. Median: $366 (164% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$153	68%
Blue Cross Blue Shield	$199 - $372	89%
Aetna	$203 - $448	91%
Humana	$203	91%
Choicecare Network	$281 - $364	126%
Amerigroup	$292 - $379	131%
Firstcare	$292 - $504	131%
Superior Healthplan Inc.	$292 - $379	131%
Cigna	$313 - $407	140%
Insurance Services Of Lubbock	$324 - $420	145%
Bsa Provider Network	$367 - $476	164%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $496.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 94640.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Childress Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 94640.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.