Breathing treatment (nebulizer)
Facility: North Austin Medical Center
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $166
- Cash Discount Price: $449
- vs. Medicare Baseline: 0.74x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 - $128 | 4% |
| Amerigroup | $12 | 5% |
| Oscar | $37 - $162 | 17% |
| Moda | $46 - $177 | 21% |
| United | $48 - $340 | 21% |
| Covenant Management Systems | $56 - $217 | 25% |
| Healthcare Highways | $56 - $226 | 25% |
| Blue Cross Blue Shield | $57 - $1,058 | 25% |
| Cigna | $62 - $310 | 28% |
| Nomi Health | $62 - $154 | 28% |
| Moda Health | $70 - $279 | 31% |
| Evry Health | $71 - $153 | 32% |
| Texas Workforce Commission | $76 - $294 | 34% |
| Curative Administrators | $78 - $167 | 35% |
| Harbor Health Team | $78 - $167 | 35% |
| Comanche County | $97 - $378 | 43% |
| Independent Medical Systems | $107 - $415 | 48% |
| First Health | $121 - $536 | 54% |
| Imo Med - Select Network | $125 - $226 | 56% |
| National Health Care | $126 - $491 | 56% |
| Texas Healthcare Foundation Heb | $154 - $279 | 69% |
| Averde Health | $188 - $340 | 84% |
| UnitedHealthcare | $188 - $340 | 84% |
| National Choicecare | $208 - $378 | 93% |
| Healthsmart Preferred Care | $229 - $604 | 102% |
| Physicians Cooperative Of Texas | $229 - $415 | 102% |
| Prime Health | $250 - $453 | 112% |
| Coastal Comp Health Networks | $271 - $491 | 121% |
| Texas Municipal League | $292 - $528 | 131% |
| Medcorp Southwest | $313 - $566 | 140% |
| Rockport Healthcare Group | $334 - $680 | 149% |
| Bce Emergis Corporation | $375 - $680 | 168% |
| Beech Street | $375 - $680 | 168% |
| Medical Control Network Solutions | $375 - $680 | 168% |
| Multiplan | $375 - $680 | 168% |
| Aetna | $7,657 - $12,950 | 3423% |