CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Providence St Mary Medical Center
Billing Code: 94640 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$239
about 1.1× the $224 Medicare rate · typically $129–$276
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $239 Cash price $141 Hospital's list price $201
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana
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 | $256 | 114% |
| Blue Cross Blue Shieldmajor | $189 - $1,180 | 84% |
| Aetnamajor | $251 - $254 | 112% |
| Kaiser Permanentemajor | $244 - $718 | 109% |
| + 2 smaller / regional plans | $268 - $451 |
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Other Procedures at Providence St Mary Medical Center
Compare: Breathing treatment (nebulizer) at other WA hospitals
- Prosser Memorial Hospital · Prosser $27
- Olympic Medical Center · Port Angeles $53
- Cascade Medical Center · Leavenworth $53
- Snoqualmie Valley Hospital · Snoqualmie $144
- St Elizabeth Hospital · Enumclaw $151
- Virginia Mason Medical Center · Seattle $188
- Skagit Valley Hospital · Mount Vernon $214
- Astria Toppenish Hospital · Toppenish $218
Insurance negotiated median for the same procedure, sorted lowest first.