CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: PAM Rehabilitation Hospital of Corpus Christi

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $107
Cash Discount Price: $134
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at PAM Rehabilitation Hospital of Corpus Christi is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.48x the Medicare baseline. Located in 345 S Water St, Corpus Christi, TX.

Cash / Self-Pay

$134

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $134 (60%)

Insurance Median: $107 (48%)

Cash: $134 (60% of Medicare)

Ins. Median: $107 (48% 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
Aetna	$10 - $200	4%
Healthcare Highways	$61 - $74	27%
Christus Spohn Health Network	$67 - $200	30%
America'S Choice Provider Network	$78 - $103	35%
Provider Network Of America	$83 - $111	37%
Quik Trip	$83 - $111	37%
Usa Managed Care Organization	$83 - $111	37%
Velocity Provider Ppo Network	$83 - $240	37%
Multiplan/Phcs	$89 - $118	40%
Prime Health Services	$95 - $350	42%
Curative	$150	67%
Ambetter / Centene	$200	89%
Blue Cross Blue Shield	$200 - $216	89%
Christus Health Plan	$200	89%
Cigna	$200	89%
Ilumed Aco Reach	$200	89%
Imperial Insurance Of Texas	$200	89%
UnitedHealthcare	$200	89%
Wellcare Complete	$200	89%
Wellmed	$200	89%
Wellpoint (Amerigroup)	$200	89%
Texas Independence Health Plan	$210	94%
Ninety Degree Benefits	$300	134%
Sana Benefits	$300	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 $134.
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 PAM Rehabilitation Hospital of Corpus Christi 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.