Breathing treatment (nebulizer)
Facility: Hackensack Meridian Mountainside Medical
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $361
- Cash Discount Price: $262
- vs. Medicare Baseline: 1.61x 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 |
|---|---|---|
| Healthscope Benefits [2290] | $45 - $361 | 20% |
| UnitedHealthcare | $45 | 20% |
| Aetna | $65 - $373 | 29% |
| Oncology Patient Assistance Programs [2295] | $174 | 78% |
| Black Lung [6055] | $174 | 78% |
| Selecthealth [3740] | $174 | 78% |
| Create Flex / Select [3580] | $174 | 78% |
| Lucent Health [6000] | $174 | 78% |
| Medicare (plans) | $174 | 78% |
| Healthcare Highways [2210] | $174 - $361 | 78% |
| Web Tpa [2115] | $174 - $373 | 78% |
| Wtc Healthcare Sme Karna [8005] | $174 | 78% |
| Worker's Comp [2125] | $174 - $395 | 78% |
| First Health [1375] | $319 - $361 | 143% |
| Cigna | $340 - $413 | 152% |
| New Era Life Insurance Company [1705] | $361 | 161% |
| Pan American Life Insurance Co [1770] | $361 | 161% |
| Hometown Health [2155] | $361 | 161% |
| PHCS [1780] | $361 | 161% |
| Multiplan [1680] | $361 | 161% |
| Gilsbar [1425] | $361 | 161% |
| Mutual of Omaha [1685] | $361 | 161% |
| Mayo Clinic Health Solutions [2280] | $361 | 161% |
| Healthnet [1495] | $361 | 161% |
| Administrative Concepts [1005] | $361 | 161% |
| Allied National Global Care [1035] | $361 | 161% |
| Resource One Administrators [2815] | $361 | 161% |
| Universal Fidelity [2085] | $361 | 161% |
| Pba [1775] | $361 | 161% |
| Healthcost Solutions [2415] | $361 | 161% |
| Healthfirst [2395] | $361 | 161% |
| Planned Administrators Inc [2360] | $361 | 161% |
| Trustmark [2030] | $361 | 161% |
| Allied Benefit Systems Inc [1030] | $373 | 167% |
| 1199 Seiu Benefit Fund [3505] | $373 | 167% |
| Meritain Health [1655] | $373 | 167% |
| Humana | $395 | 177% |
| Emblem Health [2430] | $395 | 177% |
| Mvp Health Plan [2180] | $413 | 185% |
| Samba Health [2305] | $413 | 185% |
| National Association of Letter Carriers [1695] | $413 | 185% |
| Amerihealth [3520] | $425 | 190% |
| Mva [1690] | $425 | 190% |