CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: The Medical Center of Southeast Texas

Billing Code: 94640 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$186

about 0.8× the $224 Medicare rate · typically $81–$229

modeled estimate · not a bill or quote

What this hospital charges insurers

$187

About the fair price

about $1 over the fair price · 0.8× Medicare

Medicare pays $224 Fair price $186 This hospital $187 Cash price $219 Hospital's list price $219

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 $187

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 $186 (about 0.8× the $224 Medicare rate). The Medical Center of Southeast Texas charges insurers about $187, or about $219 in cash — about the fair price. Located in Port Arthur, 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	$18 - $249	8%
Blue Cross Blue Shieldmajor	$91 - $859	41%
Aetnamajor	$127 - $145	57%
Cignamajor	$116 - $154	52%
Humanamajor	$179 - $213	80%
Amerigroup	$17 - $186	8%
Cigna HealthSpring	$186	83%
Molina	$18 - $255	8%
WellCare	$195	87%
+ 27 smaller / regional plans	$8 - $366

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

Excludes 7 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 219), 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 The Medical Center of Southeast Texas 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 The Medical Center of Southeast Texas

Compare: Breathing treatment (nebulizer) at other TX hospitals

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