CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Marshfield Medical Center
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$182
about 0.8× the $224 Medicare rate · typically $89–$394
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $182 Cash price $120 Hospital's list price $126
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✓ Cigna HumanaKaiser 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 | $115 | 51% |
| Blue Cross Blue Shieldmajor | $96 - $199 | 43% |
| Aetnamajor | $121 | 54% |
| Cignamajor | $118 | 53% |
| HealthPartners | $120 | 54% |
| Medica | $117 - $119 | 52% |
| Molina | $107 | 48% |
| Sanford Health Plan | $69 | 31% |
| Security Health Plan | $64 - $193 | 29% |
| + 9 smaller / regional plans | $63 - $205 |
Government programs also on file: Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Marshfield Medical Center
Compare: Breathing treatment (nebulizer) at other WI hospitals
- Unitypoint Health - Meriter · Madison $22
- Upland Hills Health · Dodgeville $44
- Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $63
- Ascension Sacred Heart Rehabilitation Hospital · Mequon $63
- Vernon Memorial Hospital · Viroqua $78
- Grant Regional Health Center · Lancaster $90
- Black River Memorial Hospital · Black River Falls $92
- HSHS St Clare Memorial Hospital · Oconto Falls $94
Insurance negotiated median for the same procedure, sorted lowest first.