CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Bmh-Calhoun
Billing Code: 94640 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 94640
- Insurance Median: $310
- Cash Discount Price: $209
- vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Bmh-Calhoun is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.39x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$209
Average discount available for prompt cash payment at this facility.
Insurance Median
$310
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: $209 (93%)
Insurance Median: $310 (139%)
Cash: $209 (93% of Medicare)
Ins. Median: $310 (139% 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.
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 |
|---|---|---|
| PPO Holdings | $152 | 68% |
| Magnolia Regional Health Center | $160 | 72% |
| Tricare | $164 | 73% |
| Ms Breast and Cervical | $172 | 77% |
| Triwest | $172 | 77% |
| Vaccn | $172 | 77% |
| Devoted Health | $176 | 79% |
| Blue Cross Blue Shield | $178 - $305 | 80% |
| Primewell | $181 | 81% |
| American Health Plan | $181 | 81% |
| Shared Health | $181 | 81% |
| Aetna | $181 - $261 | 81% |
| Humana | $181 - $321 | 81% |
| Magnolia Ms | $196 | 88% |
| Littler | $200 | 89% |
| Veterans Evaluation Services | $203 | 91% |
| Molina | $207 - $356 | 93% |
| Cigna | $221 | 99% |
| First Choice Health Plan of Ms | $259 | 116% |
| Burch Food Services | $293 | 131% |
| First State Bank Trust | $293 | 131% |
| Retzer Resources | $310 | 139% |
| Bartlett City Schools | $310 | 139% |
| Heavy Machines | $310 | 139% |
| Town of Collierville | $310 | 139% |
| Lakeland School System | $310 | 139% |
| First Community Bank | $310 | 139% |
| Heartland Catfish Company | $310 | 139% |
| Mid-South Transport | $310 | 139% |
| Ashley Furniture Stores | $310 | 139% |
| Building Plastic | $310 | 139% |
| Dunn Investment Company | $310 | 139% |
| Security One | $310 | 139% |
| City of Lakeland | $310 | 139% |
| Watkins Uiberall | $310 | 139% |
| W G Yates | $310 | 139% |
| Silver Tree | $310 | 139% |
| Hattiesburg Clinic | $310 | 139% |
| Hollowell Industries | $310 | 139% |
| Delta Industries | $310 | 139% |
| Y K Auto Group | $310 | 139% |
| Ritchey Automotive | $310 | 139% |
| United Tn Holdings | $310 | 139% |
| Davidson Hospitality | $310 | 139% |
| W W Wood Products | $310 | 139% |
| Collierville Schools | $310 | 139% |
| Hospitality Management Advisors | $310 | 139% |
| Malco Theaters | $310 | 139% |
| City of Bartlett | $310 | 139% |
| Arlington Community Schools | $310 | 139% |
| Vaughn Electric | $310 | 139% |
| Patterson Warehouses | $310 | 139% |
| Mechanical Systems | $310 | 139% |
| Radians | $310 | 139% |
| Jas D Collier | $310 | 139% |
| Brimhall Foods | $310 | 139% |
| French Camp Academy | $310 | 139% |
| Crittenden County | $310 | 139% |
| Desoto Co Board of Supervisors | $310 | 139% |
| Gossett Motor Cars | $310 | 139% |
| Carlisle | $310 | 139% |
| Rei Nation | $310 | 139% |
| Cannon Motor Company | $310 | 139% |
| State Systems | $310 | 139% |
| Minact | $310 | 139% |
| Armstrong Relocation | $310 | 139% |
| Eas Mssc Schools | $310 | 139% |
| Christian Health Aid | $321 | 143% |
| Advanced Health Systems Inc. | $321 | 143% |
| PPO Plus | $341 | 152% |
| Harding Academy | $345 | 154% |
| Employers Health Network | $345 | 154% |
| Multiplan | $361 | 161% |
| Qca | $361 | 161% |