CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Corpus Christi Medical Center,The

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $103
Cash Discount Price: $172
vs. Medicare Baseline: 0.46x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Corpus Christi Medical Center,The is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.46x the Medicare baseline. Located in 3315 S Alameda St, Corpus Christi, TX.

Cash / Self-Pay

$172

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $172 (77%)

Insurance Median: $103 (46%)

Cash: $172 (77% of Medicare)

Ins. Median: $103 (46% 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
Superior Health Plan	$10	4%
Healthcare Highways	$33	15%
United	$34 - $78	15%
Texas Workforce Commission	$41	18%
Amerigroup	$43	19%
Aetna	$47 - $70	21%
Averde Health	$57	25%
Blue Cross Blue Shield	$66 - $607	30%
Healthsmart Preferred Care	$74 - $146	33%
Fidelis Securecare Of Tx	$78	35%
Physicians Cooperative Of Texas	$95	42%
Multiplan Phcs	$103	46%
National Healthcare Solutions	$103	46%
Olympus Managed Healthcare	$103	46%
Southwest Medical	$103	46%
Usc Health Services	$103	46%
Cigna	$105 - $138	47%
First Health	$106	47%
Coastal Comp	$112	50%
Newton Ppo	$121	54%
Humana	$125	56%
Texas True Choice	$129	58%
Beech Street	$138	62%
Usa Managed Care	$138	62%
Texas Athletic Network	$300 - $600	134%

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 $172.
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 Corpus Christi Medical Center,The 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.