CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Intermountain Health Alta View Hospital

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $106
Cash Discount Price: $112
vs. Medicare Baseline: 0.47x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Intermountain Health Alta View Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.47x the Medicare baseline. Located in 9660 South 1300 East, Sandy, UT.

Cash / Self-Pay

$112

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $112 (50%)

Insurance Median: $106 (47%)

Cash: $112 (50% of Medicare)

Ins. Median: $106 (47% 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
Donor Connect	$4 - $40	2%
Aetna	$8 - $243	4%
American Health	$8 - $230	4%
Blue Cross Blue Shield	$8 - $230	4%
Health Partners Of Nevada	$8 - $221	4%
Humana	$8 - $232	4%
Molina	$8 - $243	4%
Selecthealth	$8 - $231	4%
UnitedHealthcare	$8 - $221	4%
Intermountain Caregiver Plan	$17 - $72	8%
Health Plan Of Nevada	$45 - $195	20%
Emi	$81 - $104	36%
Deseret Mutual	$86	38%
Cigna	$94 - $127	42%
Awh Connected	$95 - $97	42%
Emi Health	$104	46%
Pehp	$104 - $133	46%
Byu Risk Management	$105 - $109	47%
Corporation Of The President	$105 - $109	47%
Wcf Insurance	$105 - $109	47%
Byu Athletics	$108	48%
Campbell Scientific	$108	48%
Corvel Corporation	$108	48%
Franklin County	$108	48%
Ifit	$108	48%
Juniper Systems	$108	48%
Lw Miller	$108	48%
Tanner Llc	$108	48%
Utah Tech	$108	48%
Injury Care Of Nevada	$112	50%
Managed Care Admin	$117	52%
Prodegi Corp Benefit	$123	55%
Uofu	$123	55%
Springtide	$124	55%
Global Excel	$127	57%
Medcare International	$127	57%
Motivhealth	$127	57%
Wise Network	$127	57%
Hygeia Corporation	$135	60%
Healthy U	$195	87%
Triwest	$195	87%

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 $112.
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 Intermountain Health Alta View Hospital 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.