CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Holy Family Memorial
Billing Code: 94640 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$159
about 0.7× the $224 Medicare rate · typically $97–$244
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $159 Cash price $105 Hospital's list price $190
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✓ Cigna✓ Humana AetnaKaiser 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 | $193 - $661 | 86% |
| Blue Cross Blue Shieldmajor | $193 - $572 | 86% |
| Cignamajor | $137 | 61% |
| Humanamajor | $193 | 86% |
| Dean Health Plan | $95 | 42% |
| Health Net | $114 | 51% |
| HealthPartners | $124 - $193 | 55% |
| Molina | $193 - $209 | 86% |
| Security Health Plan | $152 - $193 | 68% |
| + 13 smaller / regional plans | $63 - $197 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Holy Family Memorial
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.