CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Seattle Children's Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$236
about 1.1× the $224 Medicare rate · typically $17–$333
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $236 Cash price $313 Hospital's list price $313
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 | $5 - $276 | 2% |
| Blue Cross Blue Shieldmajor | $5 - $260 | 2% |
| Aetnamajor | $263 - $301 | 118% |
| Cignamajor | $266 | 119% |
| Humanamajor | $298 | 133% |
| Kaiser Permanentemajor | $5 - $235 | 2% |
| Medical Mutual | $298 | 133% |
| Moda Health | $263 - $298 | 118% |
| Molina | $5 - $235 | 2% |
| PacificSource | $301 | 135% |
| Providence Health Plan | $266 | 119% |
| SelectHealth | $298 | 133% |
| Tufts Health Plan | $266 | 119% |
| + 60 smaller / regional plans | $5 - $301 |
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Seattle Children's Hospital
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.