CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 94640 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$177
about 0.8× the $224 Medicare rate · typically $42–$294
modeled estimate · not a bill or quote
What this hospital charges insurers
$224
Above the fair price
about $47 over the fair price · 1.0× Medicare
Medicare pays $224 Fair price $177 This hospital $224 Cash price $163 Hospital's list price $272

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 $224

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 $177 (about 0.8× the $224 Medicare rate). University of Wi Hospitals & Clinics Authority charges insurers about $224, or about $163 in cash — above the fair price. Located in Madison, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $177. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $141 - $264 63%
Blue Cross Blue Shieldmajor $100 - $295 45%
Aetnamajor $175 - $264 78%
Cignamajor $148 - $187 66%
Humanamajor $224 100%
Dean Health Plan $157 - $199 70%
Health Net $197 - $249 88%
HealthPartners $150 - $190 67%
Security Health Plan $133 - $197 59%
+ 14 smaller / regional plans $118 - $264
Government programs also on file: Medicare.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals