CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Stoughton Hospital
Billing Code: 94640 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$117
about 0.5× the $224 Medicare rate · typically $12–$333
modeled estimate · not a bill or quote
Medicare pays $224 Fair price $117 Cash price $181 Hospital's list price $328
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 | $8 - $265 | 4% |
| Blue Cross Blue Shieldmajor | $17 - $288 | 8% |
| Aetnamajor | $8 - $281 | 4% |
| Cignamajor | $214 - $265 | 96% |
| Humanamajor | $19 - $298 | 8% |
| Dean Health Plan | $8 - $401 | 4% |
| GEHA | $201 - $248 | 90% |
| Health Net | $7 - $88 | 3% |
| Quartz | $8 - $93 | 4% |
| + 2 smaller / regional plans | $11 - $298 |
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Stoughton Hospital
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.