CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: HCA Houston Healthcare West

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$245

about 1.1× the $224 Medicare rate · typically $64–$402

modeled estimate · not a bill or quote

Medicare pays $224 Fair price $245 Cash price $244 Hospital's list price $244

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	$41 - $110	18%
Blue Cross Blue Shieldmajor	$85 - $740	38%
Aetnamajor	$65 - $106	29%
Cignamajor	$36 - $195	16%
Humanamajor	$174	78%
Amerigroup	$34	15%
Fidelis Care	$110	49%
Healthcare Highways	$62	28%
Oscar Health	$48	21%
+ 15 smaller / regional plans	$32 - $600

Government programs also on file: Medicaid.

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 244), 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 HCA Houston Healthcare West 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 HCA Houston Healthcare West

Compare: Breathing treatment (nebulizer) at other TX hospitals

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