CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$164

about 0.7× the $224 Medicare rate · typically $22–$272

modeled estimate · not a bill or quote

What this hospital charges insurers

$102

Below the fair price — a good deal

about $62 under the fair price · 0.5× Medicare

Medicare pays $224 Fair price $164 This hospital $102 Cash price $256 Hospital's list price $285

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 VA hospitals compared.

Cheapest $51 Priciest $196

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

A fair price for a Breathing treatment (nebulizer) is about $164 (about 0.7× the $224 Medicare rate). Childrens Hospital of the Kings Daughters Inc charges insurers about $102, or about $256 in cash — below the fair price — a good deal. Located in Norfolk, VA.

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	$33 - $234	15%
Blue Cross Blue Shieldmajor	$87 - $752	39%
Aetnamajor	$36 - $234	16%
Cignamajor	$29 - $189	13%
Humanamajor	$107	48%
AmeriHealth	$10 - $65	4%
Health Net	$31 - $228	14%
Sentara	$44 - $102	20%
WellCare	$10 - $67	4%
+ 3 smaller / regional plans	$10 - $270

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 256), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Childrens Hospital of the Kings Daughters Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Childrens Hospital of the Kings Daughters Inc

Compare: Breathing treatment (nebulizer) at other VA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.