Breathing treatment (nebulizer)
Facility: Mercy Hospital of Buffalo
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $8
- Cash Discount Price: $388
- vs. Medicare Baseline: 0.04x 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 |
|---|---|---|
| Crime Victims [100176] | $3 - $10 | 1% |
| Amerigroup [350102] | $3 - $10 | 1% |
| Beacon Essential [350122] | $3 - $9 | 1% |
| Medicaid / KanCare | $3 - $159 | 1% |
| Univera Healthcare Essential [100170] | $3 - $7 | 1% |
| Excellus Rochester McD [350117] | $3 - $10 | 1% |
| UnitedHealthcare | $3 - $19 | 1% |
| Tuscarora Nation [550120] | $3 - $10 | 1% |
| Blue Cross Blue Shield | $3 - $18 | 1% |
| Fidelis Essential [100163] | $7 - $9 | 3% |
| VA Veterans Affairs [700001] | $7 - $8 | 3% |
| Univera Healthcare [100169] | $7 - $11 | 3% |
| Vna Option Mltc [350110] | $7 - $10 | 3% |
| Independent Health Essential [100166] | $7 - $191 | 3% |
| Medicare (plans) | $7 - $231 | 3% |
| Molina Essential [100167] | $7 - $23 | 3% |
| Seneca Nation [450119] | $8 | 4% |
| Tricare | $8 | 4% |
| Fidelis Dual Advantage [450120] | $8 | 4% |
| Covid19 Hrsa [45013] | $8 | 4% |
| Catholic Health Life Pace [400005] | $8 | 4% |
| Meritain [100063] | $8 | 4% |
| Champ VA [700002] | $8 | 4% |
| Aetna | $8 | 4% |
| Wellcare [450129] | $8 | 4% |
| Wellcare Fidelis Dual [450451] | $8 | 4% |
| Fallon Health [450115] | $8 | 4% |
| Ghi [100153] | $8 | 4% |
| Cigna | $8 - $11 | 4% |
| Humana | $8 | 4% |
| Magnacare [100142] | $8 | 4% |
| Hospice [550001] | $8 | 4% |
| Independent Health [100165] | $9 - $383 | 4% |
| Beacon Health Options [100023] | $9 | 4% |
| Iha First Choice [800001] | $9 - $307 | 4% |
| Fidelis Exchange [100164] | $9 | 4% |
| UPMC Health Plan [100181] | $14 - $26 | 6% |
| Mvp Healthcare [100168] | $21 | 9% |
| Federal Workers Compensation [500100] | $32 | 14% |
| No Fault [114001] | $32 | 14% |