CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Astria Toppenish Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$174
about 0.8× the $224 Medicare rate · typically $37–$217
modeled estimate · not a bill or quote
What this hospital charges insurers
$218
Above the fair price
about $44 over the fair price · 1.0× Medicare
Medicare pays $224 Fair price $174 This hospital $218 Cash price $437 Hospital's list price $672

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

On the higher side — 7 of 8 other WA hospitals charge less.

Cheapest $27 Priciest $223

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

A fair price for a Breathing treatment (nebulizer) is about $174 (about 0.8× the $224 Medicare rate). Astria Toppenish Hospital charges insurers about $218, or about $437 in cash — above the fair price. Located in Toppenish, WA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $174. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $6 - $666 3%
Blue Cross Blue Shieldmajor $20 - $304 9%
Aetnamajor $46 - $709 21%
Cignamajor $218 97%
Humanamajor $52 - $806 23%
Kaiser Permanentemajor $763 341%
Ambetter (Centene) $6 3%
Molina $6 - $7 3%
+ 6 smaller / regional plans $33 - $806
Government programs also on file: Medicare, Medicaid, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals