Breathing treatment (nebulizer)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $144
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.64x 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 |
|---|---|---|
| Americhoice | $17 - $34 | 8% |
| UnitedHealthcare | $17 - $188 | 8% |
| Wellcare | $18 - $37 | 8% |
| Horizon | $18 - $186 | 8% |
| Self Pay | $20 - $40 | 9% |
| Amerigroup | $34 - $69 | 15% |
| Magnacare | $52 - $238 | 23% |
| Cigna | $55 - $134 | 25% |
| Great West Life | $66 - $134 | 30% |
| Qualcare Commercial | $66 - $132 | 30% |
| Evernorth | $66 - $132 | 30% |
| Aetna | $75 - $219 | 34% |
| Global Exchange Managed Care | $79 - $159 | 35% |
| Amerihealth | $84 - $223 | 38% |
| Qualcare Wc | $85 - $172 | 38% |
| Mutual of Omaha | $85 - $172 | 38% |
| First McO | $85 - $172 | 38% |
| Active Care Plus | $85 - $172 | 38% |
| Donio Trucking | $92 - $186 | 41% |
| Consumer Health Network (Chn) | $92 - $238 | 41% |
| Oxford | $98 - $199 | 44% |
| Devon/ Ullicare | $98 - $199 | 44% |
| Coventry Health Care | $105 - $212 | 47% |
| Private Healthcare System (PHCS) | $105 - $212 | 47% |
| Blue Cross Blue Shield | $108 - $218 | 48% |
| Metrahealth of Nj | $111 - $225 | 50% |
| Health South | $111 - $225 | 50% |
| Prime Health Services | $111 - $225 | 50% |
| Health Payors Org | $111 - $225 | 50% |
| Three Rivers Provider Network (Trpn) | $111 - $225 | 50% |
| Intergroup Preferred Program | $118 - $238 | 53% |
| Galaxy Health Network | $118 - $238 | 53% |
| Active Care Nj Pip | $118 - $238 | 53% |
| Choice Care | $118 - $238 | 53% |
| Beech Street | $118 - $238 | 53% |
| Multiplan | $118 - $238 | 53% |
| Metracomp | $118 - $238 | 53% |
| Health Network Inc | $118 - $238 | 53% |
| Provider Select, Inc | $118 - $238 | 53% |
| Department of Corrections | $118 - $238 | 53% |
| McS Commercial | $118 - $238 | 53% |
| Master Care Inc | $121 - $245 | 54% |
| Atlantis Health Plan | $121 - $245 | 54% |
| McSi/Mrsi No Fault | $124 - $252 | 55% |
| Advance Healthcare System | $124 - $252 | 55% |
| National Health Plan | $124 - $252 | 55% |
| Health Network America | $124 - $252 | 55% |
| Community Care Network | $124 - $252 | 55% |
| McSi/Mrsi Worker's Comp | $124 - $252 | 55% |
| Tricare | $203 | 91% |
| Devoted Health Plan | $254 | 114% |
| Health Partners Plan | $493 | 220% |