CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$255

about 1.1× the $224 Medicare rate · typically $62–$336

modeled estimate · not a bill or quote

What this hospital charges insurers

$314

Above the fair price

about $59 over the fair price · 1.4× Medicare

Medicare pays $224 Fair price $255 This hospital $314 Cash price $203 Hospital's list price $581

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 $314

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 $255 (about 1.1× the $224 Medicare rate). CHI St Lukes Lakeside Hospital charges insurers about $314, or about $203 in cash — above the fair price. Located in The Woodlands, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $255. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$157 - $1,604	70%
Blue Cross Blue Shieldmajor	$204 - $581	91%
Aetnamajor	$208 - $378	93%
Cignamajor	$100 - $407	45%
Humanamajor	$204 - $378	91%
Ambetter (Centene)	$306	137%
Bright Health	$314	140%
Devoted Health	$218	97%
Health Net	$494 - $581	221%
+ 13 smaller / regional plans	$147 - $662

Excludes 3 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 203), 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 CHI St Lukes Lakeside Hospital 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 CHI St Lukes Lakeside Hospital

Compare: Breathing treatment (nebulizer) at other TX hospitals

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