Breathing treatment (nebulizer)
Facility: Johnson Memorial Hospital
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $167
- Cash Discount Price: $992
- vs. Medicare Baseline: 0.75x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $104 - $438 | 46% |
| Health New England | $109 | 49% |
| Blue Cross Blue Shield | $129 - $438 | 58% |
| Cigna | $130 - $452 | 58% |
| Luminare Health | $130 | 58% |
| Nippon Life Ins | $130 | 58% |
| Meritain | $130 | 58% |
| Hap | $130 | 58% |
| Webtpa | $130 | 58% |
| Gravie Admin Services | $130 | 58% |
| Allied Benefit Systems | $130 | 58% |
| 1199 National Benefit Fund | $130 | 58% |
| Prime Health Services | $134 | 60% |
| Dean Health | $139 | 62% |
| PHCS | $139 | 62% |
| Mvp | $139 | 62% |
| Pai | $139 | 62% |
| Medi Share | $139 | 62% |
| Trinity Health Share | $139 | 62% |
| Lifetime Benefit Solutions | $139 | 62% |
| Asrm - Reliance Standard Life Insurance | $139 | 62% |
| Allied National Global Care | $139 | 62% |
| Ghc Scw | $139 | 62% |
| Paramount HMO | $139 | 62% |
| Family Life Insurance Company | $139 | 62% |
| Pan-American Life | $139 | 62% |
| International Benefit Administrators | $139 | 62% |
| Christian Care Ministry | $139 | 62% |
| Manhattan Life | $139 | 62% |
| Multiplan | $139 | 62% |
| Health Smart | $142 | 63% |
| Connecticare | $144 - $151 | 64% |
| Health Partners | $152 | 68% |
| Magnacare | $152 | 68% |
| Allegiance | $152 | 68% |
| Bcn Domestic | $167 | 75% |
| Blue Distinction Transplant | $167 | 75% |
| Health Choices | $167 | 75% |
| Blue Shield - Id (Regence) | $167 | 75% |
| Blue Shield - Ca | $167 | 75% |
| Unicare | $167 | 75% |
| United Behavioral Health Eap | $167 | 75% |
| Blue Shield - Wa (Regence) | $167 | 75% |
| Wellpoint | $167 | 75% |
| Blue Shield - Ny Highmark Northeastern | $167 | 75% |
| Wc Domestic | $167 | 75% |
| Blue Shield - Ny Highmark Western | $167 | 75% |
| Blue Benefit Administrators of Massachusetts | $167 | 75% |
| UnitedHealthcare | $167 - $438 | 75% |
| Kaiser Domestic | $167 | 75% |
| Blue Care Network | $167 | 75% |
| Pre-Employment | $167 | 75% |
| Blue Shield - PA (Highmark) | $167 | 75% |
| Connecticut Dept of Correction | $242 - $413 | 108% |
| Medicare (plans) | $257 - $461 | 115% |
| Cca Senior Care Options | $262 - $447 | 117% |
| Fallon Health | $341 - $582 | 152% |
| Geha | $424 | 190% |
| Harvard Pilgrim Healthcare | $424 | 190% |
| Innovative Health Plan II | $551 - $939 | 246% |
| Claimdoc | $551 - $939 | 246% |
| Diversified Administrators | $551 - $939 | 246% |
| Centivo | $612 - $1,042 | 274% |