CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Falls Community Hospital and Clinic
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$157
about 0.7× the $224 Medicare rate · typically $19–$264
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $157 Cash price $138 Hospital's list price $173
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 | $119 - $192 | 53% |
| Blue Cross Blue Shieldmajor | $828 | 370% |
| Aetnamajor | $136 - $140 | 61% |
| Cignamajor | $75 | 34% |
| Humanamajor | $192 | 86% |
| Baylor Scott & White | $192 | 86% |
Self-Pay How to get the cash price
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Other Procedures at Falls Community Hospital and Clinic
Compare: Breathing treatment (nebulizer) at other TX hospitals
- Coryell Memorial Hospital · Gatesville $24
- Winkler County Memorial Hospital · Kermit $29
- Titus Regional Medical Center · Mount Pleasant $33
- Cochran Memorial Hospital · Morton $37
- Memorial Medical Center · Port Lavaca $43
- UT of Texas Southwestern University Hospital - William P. Clements Jr. · Dallas $46
- Comanche County Medical Center · Comanche $49
- Throckmorton County Memorial Hospital · Throckmorton $54
Insurance negotiated median for the same procedure, sorted lowest first.