CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: St Elizabeth Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$234
about 1.0× the $224 Medicare rate · typically $24–$426
modeled estimate · not a bill or quote
What this hospital charges insurers
$151
Below the fair price — a good deal
about $83 under the fair price · 0.7× Medicare
Medicare pays $224 Fair price $234 This hospital $151 Cash price $161 Hospital's list price $455

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

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 $234 (about 1.0× the $224 Medicare rate). St Elizabeth Hospital charges insurers about $151, or about $161 in cash — below the fair price — a good deal. Located in Enumclaw, WA.

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✓ Humana✓ Kaiser Permanente Cigna

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 $82 - $180 37%
Blue Cross Blue Shieldmajor $84 - $903 38%
Aetnamajor $100 - $327 45%
Humanamajor $88 39%
Kaiser Permanentemajor $82 - $573 37%
Amerigroup $82 37%
Molina $82 - $157 37%
+ 6 smaller / regional plans $79 - $527
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: 1450 Battersby Avenue, Enumclaw, WA 98022
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals