Breathing treatment (nebulizer)
Facility: Physicians Care Surgical Hospital
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $46
- Cash Discount Price: $34
- vs. Medicare Baseline: 0.21x 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 |
|---|---|---|
| Ibc Security 65 | $42 | 19% |
| Keystone 65 HMO | $42 | 19% |
| Humana | $42 | 19% |
| Tricare | $42 | 19% |
| Cigna | $42 | 19% |
| Blue Cross Blue Shield | $42 - $376 | 19% |
| Gpm Health and Life Insurance Mc Supplement | $42 | 19% |
| Shenandoah Life | $42 | 19% |
| Vibra Health Plan | $42 | 19% |
| Pcsh Aarp | $42 | 19% |
| Aetna | $42 - $101 | 19% |
| Devon Health Services | $42 | 19% |
| Aarp | $42 | 19% |
| UnitedHealthcare | $42 - $90 | 19% |
| Medicare (plans) | $42 | 19% |
| Unified Health Services | $42 | 19% |
| Personal Choice 65 | $42 | 19% |
| Carefirst Administrators | $46 | 21% |
| Independence Administrators | $46 | 21% |
| Empire Plan | $46 | 21% |
| Independence Federal | $46 | 21% |
| Keystone Healthplan East | $46 | 21% |
| Ibc - Local | $46 | 21% |
| Personal Choice | $46 | 21% |
| Independence Bc | $46 | 21% |
| Horizon of New Jersey | $46 | 21% |
| Ibc Local | $46 | 21% |
| Keystone Direct POS | $46 | 21% |
| Amerihealth New Jersey HMO | $46 | 21% |
| Pcsh Ibc | $46 | 21% |
| Ibc | $46 | 21% |
| Keystone HMO | $46 | 21% |
| Amerihealth Administrators | $46 | 21% |
| Ibc 2021 | $46 | 21% |
| Regence Blue Shield | $46 | 21% |
| Golden Rule Op | $90 | 40% |
| Surest | $90 | 40% |
| Allsavers | $90 | 40% |
| Oxford Life Insurance Company | $90 | 40% |
| Oxford Health Plan | $90 | 40% |
| Ag Administrators | $101 | 45% |
| Meritain Health | $101 | 45% |
| Continental Benefits | $101 | 45% |
| Trustmark | $101 | 45% |
| Ag Administrators Inc | $101 | 45% |
| Lucent Health | $101 | 45% |
| Coventry | $101 | 45% |
| Healthez | $101 | 45% |
| Premier Care Network | $101 | 45% |
| Allied Benefit Systems | $101 | 45% |
| Marpai Health | $101 | 45% |
| Allied Benefits Systems | $101 | 45% |
| Geha | $101 | 45% |
| Connecticare | $211 | 94% |
| Highmark | $376 | 168% |