CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$151
about 0.7× the $224 Medicare rate · typically $31–$442
modeled estimate · not a bill or quote
What this hospital charges insurers
$154
About the fair price
about $3 over the fair price · 0.7× Medicare
Medicare pays $224 Fair price $151 This hospital $154 Cash price $182 Hospital's list price $313

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 $154

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 $151 (about 0.7× the $224 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $154, or about $182 in cash — about the fair price. Located in Hillsboro, WI.

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 $166 - $219 74%
Blue Cross Blue Shieldmajor $154 - $395 69%
Aetnamajor $297 133%
Cignamajor $257 115%
Humanamajor $266 119%
Amerigroup $25 11%
Quartz $171 76%
Security Health Plan $61 27%
UCare $163 - $250 73%
+ 4 smaller / regional plans $154 - $266
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals