CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Northern Louisiana Medical Center
Billing Code: 94640 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 94640
- Insurance Median: $380
- Cash Discount Price: $218
- vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Northern Louisiana Medical Center is $380. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.70x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$218
Average discount available for prompt cash payment at this facility.
Insurance Median
$380
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: $218 (97%)
Insurance Median: $380 (170%)
Cash: $218 (97% of Medicare)
Ins. Median: $380 (170% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $28 - $239 | 13% |
| Blue Cross Blue Shield | $54 - $370 | 24% |
| Aetna | $54 - $238 | 24% |
| Medicaid / KanCare | $54 - $397 | 24% |
| Humana | $60 - $62 | 27% |
| Golden Rule Ins | $142 - $239 | 63% |
| Verity Healthnet | $186 - $195 | 83% |
| Cigna | $190 - $198 | 85% |
| Kaiser Permanente | $190 - $198 | 85% |
| Gilsbar | $209 - $218 | 93% |
| Self Pay | $209 - $218 | 93% |
| Geha | $304 - $377 | 136% |
| Multiplan | $323 - $337 | 144% |
| First Health | $323 - $337 | 144% |
| PHCS | $323 - $337 | 144% |
| Work Comp First Health | $342 - $357 | 153% |
| Workers Compensation | $342 - $357 | 153% |
| Work Comp City of Ruston | $342 - $357 | 153% |
| Work Comp Nlmc Emp | $342 - $357 | 153% |
| Mva Insurance Payors | $380 - $397 | 170% |
| Principal Mutual Life Ins | $380 - $397 | 170% |
| Healthfirst Tpa | $380 - $397 | 170% |
| Industrial Accounts | $380 - $397 | 170% |
| Protective Life Ins | $380 - $397 | 170% |
| United Teachers Ins | $380 - $397 | 170% |
| Gmp Employers Retiree Tru | $380 - $397 | 170% |
| Fox Everett Inc | $380 - $397 | 170% |
| Ima Insurance | $380 - $397 | 170% |
| Gsu Athletics | $380 - $397 | 170% |
| The Hartford | $380 - $397 | 170% |
| State Mutual Ins | $380 - $397 | 170% |
| Washington National Ins | $380 - $397 | 170% |
| Ltu Athletics | $380 - $397 | 170% |
| Newera | $380 - $397 | 170% |
| Liberty Healthshare | $380 - $397 | 170% |
| Lin Parish Detention | $380 - $397 | 170% |
| Union Fidelity Life Ins | $380 - $397 | 170% |
| Nalc Natl Assoc Ltr Carri | $380 - $397 | 170% |
| Benefit Trust Life | $380 - $397 | 170% |
| Guarantee Trust Life Ins | $380 - $397 | 170% |
| Bankers Life and Casualty | $380 - $397 | 170% |
| Union Bankers Insurance C | $380 - $397 | 170% |
| Ltu Student Ins Bollinger | $380 - $397 | 170% |
| Misc Commercial | $380 - $397 | 170% |
| Nalc Health Benefit Plan | $380 - $397 | 170% |
| Aflc American Family Life | $380 - $397 | 170% |
| Ruston Regional Specialty | $380 - $397 | 170% |
| Sterling Investors Life | $380 - $397 | 170% |
| McR American Hlth Adv | $380 - $397 | 170% |
| Premier Hospice | $380 - $397 | 170% |
| Apwu Health Plan | $380 - $397 | 170% |
| Hospice of Caring Hearts | $380 - $397 | 170% |
| Specialty Hosp of Winnfie | $380 - $397 | 170% |
| Physicians Mutual Ins | $380 - $397 | 170% |
| Liberty Mutual Group | $380 - $397 | 170% |
| Equitable | $380 - $397 | 170% |
| United American | $380 - $397 | 170% |
| State Farm Insurance | $380 - $397 | 170% |
| Us Dept of Labor | $380 - $397 | 170% |
| Lincoln Kidney Center | $380 - $397 | 170% |
| American Life Accident | $380 - $397 | 170% |
| Aarp | $380 - $397 | 170% |
| Crime Victims Compensatio | $380 - $397 | 170% |
| Lifecare Specialty Hosp | $380 - $397 | 170% |
| Nlmc Community Services | $380 - $397 | 170% |