CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Methodist Hospital for Surgery

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$213
about 1.0× the $224 Medicare rate · typically $66–$247
modeled estimate · not a bill or quote
What this hospital charges insurers
$231
About the fair price
about $18 over the fair price · 1.0× Medicare
Medicare pays $224 Fair price $213 This hospital $231 Cash price $181 Hospital's list price $302

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 $231

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 $213 (about 1.0× the $224 Medicare rate). Methodist Hospital for Surgery charges insurers about $231, or about $181 in cash — about the fair price. Located in Addison, TX.

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 $215 - $230 96%
Blue Cross Blue Shieldmajor $215 - $565 96%
Aetnamajor $215 96%
Cignamajor $226 - $228 101%
Humanamajor $228 102%
Ambetter (Centene) $368 164%
Bright Health $301 135%
Friday Health $366 164%
Molina $312 139%
Oscar Health $280 125%
WellCare $215 96%
+ 15 smaller / regional plans $215 - $430
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 17101 Dallas Parkway, Addison, TX 75001
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals