CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Primary Children's Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$49
about 0.2× the $224 Medicare rate · typically $10–$189
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
About the fair price
about $5 over the fair price · 0.2× Medicare
Medicare pays $224 Fair price $49 This hospital $54 Cash price $56 Hospital's list price $75

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 7 of 8 other UT hospitals charge more for the same procedure.

Cheapest $20 Priciest $222

Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.

A fair price for a Breathing treatment (nebulizer) is about $49 (about 0.2× the $224 Medicare rate). Primary Children's Hospital charges insurers about $54, or about $56 in cash — about the fair price. Located in Salt Lake City, UT.

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 $8 - $195 4%
Blue Cross Blue Shieldmajor $55 - $64 25%
Aetnamajor $53 - $64 24%
Cignamajor $53 - $63 24%
Humanamajor $53 - $63 24%
Health Net $61 27%
Molina $8 - $138 4%
SelectHealth $8 - $128 4%
+ 31 smaller / regional plans $8 - $194
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 North Mario Capecchi Drive, Salt Lake City, UT 84113
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens