CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: White Rock Medical Center

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$234

about 1.0× the $224 Medicare rate · typically $90–$289

modeled estimate · not a bill or quote

What this hospital charges insurers

$220

About the fair price

about $14 under the fair price · 1.0× Medicare

Medicare pays $224 Fair price $234 This hospital $220 Cash price $189 Hospital's list price $278

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 $220

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 $234 (about 1.0× the $224 Medicare rate). White Rock Medical Center charges insurers about $220, or about $189 in cash — about the fair price. Located in Dallas, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Cigna✓ Humana UnitedHealthcareAetnaKaiser 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
Blue Cross Blue Shieldmajor	$51 - $3,520	23%
Cignamajor	$122 - $465	55%
Humanamajor	$220	98%
Amerigroup	$15 - $220	7%
Baylor Scott & White	$10 - $220	4%
Molina	$122 - $278	55%
WellCare	$220	98%
WellMed	$220	98%
+ 3 smaller / regional plans	$122 - $278

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (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 189), 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 White Rock 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 White Rock Medical Center

Compare: Breathing treatment (nebulizer) at other TX hospitals

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