CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: HSHS St Clare Memorial Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$93
about 0.4× the $224 Medicare rate · typically $36–$351
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $1 over the fair price · 0.4× Medicare
Medicare pays $224 Fair price $93 This hospital $94 Cash price $205 Hospital's list price $310

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 7 of 8 other WI hospitals charge less.

Cheapest $22 Priciest $97

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 $93 (about 0.4× the $224 Medicare rate). HSHS St Clare Memorial Hospital charges insurers about $94, or about $205 in cash — about the fair price. Located in Oconto Falls, 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 $29 - $100 13%
Blue Cross Blue Shieldmajor $29 - $252 13%
Aetnamajor $29 - $370 13%
Cignamajor $75 - $231 34%
Humanamajor $29 - $314 13%
Health Net $91 41%
Meridian $94 42%
Molina $29 - $185 13%
Security Health Plan $29 - $236 13%
+ 16 smaller / regional plans $58 - $370
Government programs also on file: Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 855 S Main St, Oconto Falls, WI 54154
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals