CMS Price Transparency Data

Breathing treatment (nebulizer)

Facility: Cody Regional Health

Billing Code: 94640 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 94640
Insurance Median: $108
Cash Discount Price: $108
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Cody Regional Health is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.48x the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$223.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $223.72 (100%)

Cash / Self-Pay: $108 (48%)

Insurance Median: $108 (48%)

Cash: $108 (48% of Medicare)

Ins. Median: $108 (48% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $223.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medica Comm - All Other Plans	$8 - $108	4%
Mountain Health - All Plans	$9 - $108	4%
Tricare	$9 - $55	4%
Blue Cross Blue Shield	$22 - $126	10%
Pacific Source - All Plans	$28 - $108	13%
Cigna	$95 - $120	42%
Christian Hlthcare - All Plans	$96 - $106	43%
First Choice Health - All Plans	$108 - $120	48%
Rocky Mtn Admin - All Plans	$108	48%
Interwest Health Ppo - All Plans	$110 - $122	49%
First Health Ntwrk-All Plans	$112 - $124	50%
Humana	$112 - $120	50%
UnitedHealthcare	$112 - $126	50%
Three Rivers - All Plans	$114 - $126	51%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $108.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 94640.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cody Regional Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 94640.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.