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

How we calculate the fair BaseRate →

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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Facility Profile & Credentials

  • Address: 2300 Western Ave, Manitowoc, WI 54221
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals