Breathing treatment (nebulizer)
Facility: Rehabilitation Hospital of Wisconsin
Billing Code: 94640 (CPT)
- CPT Billing Code: 94640
- Insurance Median: $98
- Cash Discount Price: $100
- vs. Medicare Baseline: 0.44x 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 |
|---|---|---|
| Dean PPO Hmo/Pos | $56 - $120 | 25% |
| Medica (Under Dean) | $56 - $120 | 25% |
| Alliance PPO | $56 - $120 | 25% |
| UnitedHealthcare | $57 - $174 | 25% |
| Trilogy PPO | $58 - $174 | 26% |
| Wps "Insurance" PPO | $59 - $127 | 26% |
| PHCS Savility | $61 - $130 | 27% |
| Hps Solutions PPO | $61 - $132 | 27% |
| Aetna | $63 - $174 | 28% |
| Health Eos Poc | $65 - $139 | 29% |
| Coventry/First Health PPO | $66 - $142 | 30% |
| Hps (Other) | $66 - $142 | 30% |
| Health Eos Multiplan | $69 - $148 | 31% |
| PHCS / Multiplan | $74 - $160 | 33% |
| Network Health - Commercial | $81 - $174 | 36% |
| Medicaid / KanCare | $81 - $174 | 36% |
| Managed Health Services (Mhs) | $81 - $174 | 36% |
| Medicare (plans) | $81 - $174 | 36% |
| Centivo Intermediate/Median | $81 - $174 | 36% |
| Wellcare McR | $81 - $174 | 36% |
| Unity Health Plan and Unity Quartz(Hmo/Pos) | $81 - $174 | 36% |
| VA - Primary Only - Authorization Required | $81 - $174 | 36% |
| Blue Cross Blue Shield | $81 - $174 | 36% |
| Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) | $81 - $174 | 36% |
| Molina (Fka Care Wisconsin) | $81 - $174 | 36% |
| Centivo Narrow/Value | $81 - $174 | 36% |
| Community Care, Inc | $81 - $174 | 36% |
| Security Health Plan - Advocare | $81 - $174 | 36% |
| Together With Cchp | $81 - $174 | 36% |
| Centivo Broad | $81 - $174 | 36% |
| All Savers | $81 - $174 | 36% |
| Icare McD | $81 - $174 | 36% |
| Cigna | $81 - $174 | 36% |
| Network Health - Aca | $81 - $174 | 36% |
| Children's Communty Health Plan(Cchp) | $81 - $174 | 36% |
| Humana | $81 - $174 | 36% |