CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: St Vincent Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$125

about 0.6× the $224 Medicare rate · typically $84–$293

modeled estimate · not a bill or quote

What this hospital charges insurers

$101

Below the fair price — a good deal

about $24 under the fair price · 0.5× Medicare

Medicare pays $224 Fair price $125 This hospital $101 Cash price $205 Hospital's list price $310

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $101

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

A fair price for a Breathing treatment (nebulizer) is about $125 (about 0.6× the $224 Medicare rate). St Vincent Hospital charges insurers about $101, or about $205 in cash — below the fair price — a good deal. Located in Green Bay, WI.

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✓ 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	$101 - $213	45%
Blue Cross Blue Shieldmajor	$26 - $275	12%
Aetnamajor	$78 - $404	35%
Cignamajor	$84 - $283	38%
Humanamajor	$76 - $343	34%
Health Net	$91	41%
Meridian	$26	12%
Molina	$28 - $213	13%
Security Health Plan	$77 - $258	34%
+ 16 smaller / regional plans	$26 - $404

Government programs also on file: Medicare, Medicaid.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 205), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm St Vincent Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Vincent Hospital

Compare: Breathing treatment (nebulizer) at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.