CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: University Medical Center
Billing Code: 94640 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 94640
- Insurance Median: $20
- Cash Discount Price: $94
- vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at University Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 0.09x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$94
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
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: $94 (42%)
Insurance Median: $20 (9%)
Cash: $94 (42% of Medicare)
Ins. Median: $20 (9% 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 |
|---|---|---|
| Aetna | $7 - $393 | 3% |
| Advantra Freedom | $7 - $225 | 3% |
| Wynn Resorts | $8 - $147 | 4% |
| Venetian/Palazzo | $8 - $153 | 4% |
| Mgm Grand | $8 - $147 | 4% |
| Clark County EPO | $8 - $147 | 4% |
| Pli Las Vegas | $8 - $153 | 4% |
| State of Nevada | $8 - $153 | 4% |
| Molina | $8 - $333 | 4% |
| P3 Health Partners Nevada | $8 - $225 | 4% |
| Truline Corporation | $8 - $153 | 4% |
| Teacher's Health Trust | $8 - $153 | 4% |
| City of Henderson | $8 - $147 | 4% |
| Sierra Health and Life | $8 - $258 | 4% |
| Blue Cross Blue Shield | $8 - $225 | 4% |
| Stations Casinos | $8 - $153 | 4% |
| Alignment Health | $8 - $225 | 4% |
| Las Vegas Metro Police Dept | $8 - $147 | 4% |
| Selecthealth | $8 - $333 | 4% |
| Scan | $8 - $225 | 4% |
| VA Pc3 (VA Choice) | $8 - $303 | 4% |
| Healthcare Partners of Nevada | $8 - $225 | 4% |
| Resorts World Las Vegas | $8 - $147 | 4% |
| Golden Nugget Hotel & Casino | $8 - $153 | 4% |
| Marshall Retail Group | $8 - $153 | 4% |
| UnitedHealthcare | $8 - $336 | 4% |
| Las Vegas Sand Corps | $8 - $336 | 4% |
| Golden Entertainment | $8 - $153 | 4% |
| Allwell | $8 - $225 | 4% |
| Clark County Self Funded | $8 - $147 | 4% |
| Rebel Oil Company | $8 - $153 | 4% |
| Operating Engineers | $8 - $197 | 4% |
| Dignity Health | $8 - $153 | 4% |
| Arroweye Solutions | $8 - $153 | 4% |
| Caesar's Entertainment | $8 - $147 | 4% |
| Mirage Las Vegas | $8 - $147 | 4% |
| City of North Las Vegas | $8 - $147 | 4% |
| P3 Health Partners | $8 - $153 | 4% |
| Health Net | $9 - $669 | 4% |
| Coventry | $9 - $275 | 4% |
| Culinary Workers Hwf | $9 - $147 | 4% |
| Nevada Energy | $9 - $275 | 4% |
| Three Rivers Provider Network | $9 - $386 | 4% |
| Geha | $9 - $12 | 4% |
| Mail Handlers Benefit Plan | $9 - $275 | 4% |
| Employee Painters Trust | $9 - $147 | 4% |
| Clark County Firefighters 1908 | $9 - $147 | 4% |
| First Health | $9 - $386 | 4% |
| Ambetter / Centene | $11 - $348 | 5% |
| Laughlin Coalition | $11 - $307 | 5% |
| Prominence Health Plan | $12 - $450 | 5% |
| Nevada Preferred Professionals | $12 - $450 | 5% |
| Hometown Health Plan Nevada | $12 | 5% |
| Universal Health Network (Uhn) | $12 - $450 | 5% |
| Jw Marriott | $12 - $450 | 5% |
| One Health Plan | $12 - $243 | 5% |
| Laborers Health and Welfare | $13 - $147 | 6% |
| Ufcw Local 711 Retail Clerks | $13 - $147 | 6% |
| Teamsters Local 14 | $13 - $147 | 6% |
| Bricklayers Local 13 | $13 - $147 | 6% |
| California Ironwork Field Welfare | $13 - $197 | 6% |
| Teamsters Local 631 | $13 - $147 | 6% |
| Southwest Carpenters H&W | $13 - $197 | 6% |
| So Ca Pipe Trades H&W | $13 - $197 | 6% |
| Teamsters Local 986 | $13 - $147 | 6% |
| Plumbers & Pipefitters Loc 525 | $13 - $147 | 6% |
| Boyd Group | $13 - $147 | 6% |
| Electrical Workers | $13 - $147 | 6% |
| Sheet Metal Workers | $13 - $197 | 6% |
| Health Direct Partners | $13 - $362 | 6% |
| Beech Street | $16 - $394 | 7% |
| Cement Masons & Plasters H&W | $16 - $147 | 7% |
| Aig | $16 - $394 | 7% |
| Zuffa | $17 - $472 | 8% |
| Cirque De Soleil | $24 - $447 | 11% |
| Cigna | $24 - $447 | 11% |
| Great West Healthcare | $24 - $447 | 11% |
| National Security Technologies | $24 - $447 | 11% |
| Kaiser | $24 - $447 | 11% |
| Las Vegas Firefighters 1285 | $147 | 66% |
| Nevada Hand | $147 | 66% |
| Switch | $147 | 66% |
| Clark County Detention Center | $236 | 105% |
| Hometown Health Plan of Nevada | $243 | 109% |
| American Postal Workers Health Plan | $336 | 150% |
| Surest | $336 | 150% |