CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Sauk Prairie Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$172
about 0.8× the $224 Medicare rate · typically $58–$262
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $172 Cash price $62 Hospital's list price $114
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $7 - $318 | 3% |
| Blue Cross Blue Shieldmajor | $6 - $308 | 3% |
| Humanamajor | $7 - $196 | 3% |
| Dean Health Plan | $7 - $196 | 3% |
| Quartz | $7 - $536 | 3% |
| + 1 smaller / regional plan | $40 - $334 |
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Other Procedures at Sauk Prairie Hospital
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.