CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Columbus Community Hospital

Billing Code: 94640 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$119

about 0.5× the $224 Medicare rate · typically $12–$321

modeled estimate · not a bill or quote

What this hospital charges insurers

$113

About the fair price

about $6 under the fair price · 0.5× Medicare

Medicare pays $224 Fair price $119 This hospital $113 Cash price $159 Hospital's list price $289

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 $113

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 $119 (about 0.5× the $224 Medicare rate). Columbus Community Hospital charges insurers about $113, or about $159 in cash — about the fair price. Located in Columbus, WI.

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	$81 - $263	36%
Blue Cross Blue Shieldmajor	$75 - $244	34%
Cignamajor	$58 - $190	26%
Humanamajor	$87 - $285	39%
Dean Health Plan	$84 - $275	38%
Quartz	$64 - $224	29%
Security Health Plan	$72 - $237	32%
+ 6 smaller / regional plans	$28 - $295

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 159), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 94640.

Insurance Before you use insurance

Call your insurance company to confirm Columbus Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 94640.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Columbus Community Hospital

Compare: Breathing treatment (nebulizer) at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.