CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Beloit Health System
Billing Code: 94640 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$132
about 0.6× the $224 Medicare rate · typically $44–$221
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $132 Cash price $50 Hospital's list price $168
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 | $8 - $296 | 4% |
| Blue Cross Blue Shieldmajor | $8 - $256 | 4% |
| Aetnamajor | $8 - $355 | 4% |
| Cignamajor | $54 - $363 | 24% |
| Humanamajor | $49 - $857 | 22% |
| Dean Health Plan | $8 - $230 | 4% |
| Molina | $230 | 103% |
| Quartz | $8 - $256 | 4% |
| WellCare | $230 | 103% |
| + 7 smaller / regional plans | $8 - $922 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Beloit Health System
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.