Doctor visits and therapy CPT 94640 Outpatient

Breathing treatment cost in Grand Rapids, MI

In Grand Rapids-Wyoming-Kentwood, MI, 12 hospitals list a cash price for breathing treatment (nebulizer or inhaler) for airway obstruction: from $60.80 to $367.00, with a median of $203.00. The lowest listed price is at Sheridan Community Hospital — $142.20 less than the median here. Across Michigan, the median is $169.68 at 96 hospitals.

  • The median here, $203.00, is 23% above the US median of $164.63.
  • That is 0.9× Medicare's 2026 national rate for the same service ($223.72).
  • Grand Rapids, MI has the lowest median of 2 metro areas in Michigan with at least 10 hospitals pricing this code.
  • 8 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 12 facilities across 9 cities for code 94640, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 5, 2026; the hospital files themselves were last updated between Nov 21, 2025 and May 1, 2026.

Lowest$60.80Sheridan Community Hospital
Median$203.00half of hospitals charge less
Highest$367.00in this market
Difference6.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Grand Rapids-Wyoming-Kentwood, MI.

median
Lowest $60.80Highest $23,999.33

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Sheridan Community Hospital lowest Sheridan, MI · (989) 291-3261 SPUTUM INDUCTION SUB File of Apr 22, 2026 · source file $60.80 $76.00 $7.84–$76.00 20%
Sheridan Community Hospital Sheridan, MI · (989) 291-3261 SPUTUM COLLECTION W/WO TX INITIAL File of Apr 22, 2026 · source file $63.20 $79.00 $7.84–$79.00 20%
Mercy Health Saint Marys Grand Rapids, MI · (616) 685-5000 HC Treatment Inhalation Pressurized/Nonpressurized Acute Airway Obstruction File of Mar 31, 2026 · source file $74.10 $114.00 $16.17–$338.19 35%
Sheridan Community Hospital Sheridan, MI · (989) 291-3261 MDI 4TH TREATMENT+3 more lines at this price File of Apr 22, 2026 · source file $74.40 $93.00 $7.84–$93.00 20%
Sheridan Community Hospital Sheridan, MI · (989) 291-3261 IPPB INITIAL+1 more line at this price File of Apr 22, 2026 · source file $78.40 $98.00 $7.84–$98.00 20%
Trinity Health Grand Haven Hospital Grand Haven, MI · (616) 847-5268 PRESS NON PRESS INHALATION TRT File of Nov 21, 2025 · source file $84.00 $84.00 $57.85–$455.40 —
Sheridan Community Hospital Sheridan, MI · (989) 291-3261 NEB SUB+3 more lines at this price File of Apr 22, 2026 · source file $85.60 $107.00 $7.84–$107.00 20%
University of Michigan Health-Sparrow Ionia Ionia, MI · (616) 527-4200 HB Airway Inhalation Treatment+1 more line at this price File of Apr 1, 2026 · source file $98.75 $395.00 $51.50–$275.40 75%
Sheridan Community Hospital Sheridan, MI · (989) 291-3261 NEB TX INITIAL File of Apr 22, 2026 · source file $99.20 $124.00 $7.84–$124.00 20%
University of Michigan Health-Sparrow Ionia Ionia, MI · (616) 527-4200 HB Hi Fi Trach Stm Init+1 more line at this price File of Apr 1, 2026 · source file $104.25 $417.00 $12.00–$106.92 75%
University of Michigan Health-Sparrow Carson Carson City, MI · (989) 584-3131 HB Airway Inhalation Treatment+1 more line at this price File of Apr 1, 2026 · source file $129.50 $518.00 $12.25–$419.58 75%
University of Michigan Health-Sparrow Carson Carson City, MI · (989) 584-3131 HB Hi Fi Trach Stm Sub+1 more line at this price File of Apr 1, 2026 · source file $130.50 $522.00 $12.25–$422.82 75%
Trinity Health Grand Haven Hospital Grand Haven, MI · (616) 847-5268 SVN INITIAL BREATHING TREATME File of Nov 21, 2025 · source file $175.00 $175.00 $57.85–$455.40 —
Corewell Health Zeeland Community Hospital Zeeland, MI · (616) 772-4644 Hc Neb Tx Mdis Once Daily, Bid, All Levels Of Prn File of Apr 1, 2026 · source file $203.00 $203.00 — —
Corewell Health Greenville Hospital Greenville, MI · (616) 754-4691 Hc Neb Tx Mdis Once Daily, Bid, All Levels Of Prn File of Apr 1, 2026 · source file $203.00 $203.00 — —
Corewell Health Butterworth Hospital Grand Rapids, MI · (616) 391-1774 Hc Neb Tx Mdis Once Daily, Bid, All Levels Of Prn+1 more line at this price File of Apr 1, 2026 · source file $207.00 $207.00 — —
Corewell Health Blodgett Hospital East Grand Rapids, MI Hc Neb Tx Mdis Once Daily, Bid, All Levels Of Prn File of Apr 1, 2026 · source file $207.00 $207.00 — —
Trinity Health Grand Haven Hospital Grand Haven, MI · (616) 847-5268 INDUCED SPUTUM INITIAL+4 more lines at this price File of Nov 21, 2025 · source file $264.00 $264.00 $57.85–$455.40 —
Corewell Health Greenville Hospital Greenville, MI · (616) 754-4691 Hc Neb Tx Or Mdis Ordered Er, Tid, Q6, Q6 W/A Or Qid File of Apr 1, 2026 · source file $339.00 $339.00 — —
Corewell Health Zeeland Community Hospital Zeeland, MI · (616) 772-4644 Hc Neb Tx Or Mdis Ordered Er, Tid, Q6, Q6 W/A Or Qid File of Apr 1, 2026 · source file $339.00 $339.00 — —
Corewell Health Butterworth Hospital Grand Rapids, MI · (616) 391-1774 Hc Neb Tx Or Mdis Ordered Er, Tid, Q6, Q6 W/A Or Qid+1 more line at this price File of Apr 1, 2026 · source file $346.00 $346.00 — —
Corewell Health Blodgett Hospital East Grand Rapids, MI Hc Neb Tx Or Mdis Ordered Er, Tid, Q6, Q6 W/A Or Qid File of Apr 1, 2026 · source file $346.00 $346.00 — —
Corewell Health Pennock Hospital Hastings, MI · (269) 945-3451 HC AIRWAY INHALATION TREATMENT File of May 1, 2026 · source file $367.00 $367.00 — —
Corewell Health Zeeland Community Hospital Zeeland, MI · (616) 772-4644 HC AIRWAY INHALATION TREATMENT File of May 1, 2026 · source file $367.00 $367.00 — —
Corewell Health Blodgett Hospital East Grand Rapids, MI Hc Airway Inhalation Treatment File of Apr 1, 2026 · source file $367.00 $367.00 — —
Corewell Health Greenville Hospital Greenville, MI · (616) 754-4691 HC AIRWAY INHALATION TREATMENT File of May 1, 2026 · source file $367.00 $367.00 — —
Corewell Health Butterworth Hospital Grand Rapids, MI · (616) 391-1774 Hc Airway Inhalation Treatment+2 more lines at this price File of Apr 1, 2026 · source file $367.00 $367.00 — —
Corewell Health Blodgett Hospital Grand Rapids, MI · (616) 391-1774 HC AIRWAY INHALATION TREATMENT File of May 1, 2026 · source file $367.00 $367.00 — —
Corewell Helen Devos Childrens Hospital Grand Rapids, MI HC AIRWAY INHALATION TREATMENT File of May 1, 2026 · source file $367.00 $367.00 — —
Corewell Health Greenville Hospital Greenville, MI · (616) 754-4691 HC ED AIRWAY INHALATION TREATMENT File of May 1, 2026 · source file $375.00 $375.00 — —
Corewell Health Pennock Hospital Hastings, MI · (269) 945-3451 HC ED AIRWAY INHALATION TREATMENT File of May 1, 2026 · source file $375.00 $375.00 — —
Corewell Health Zeeland Community Hospital Zeeland, MI · (616) 772-4644 HC ED AIRWAY INHALATION TREATMENT File of May 1, 2026 · source file $375.00 $375.00 — —
Corewell Health Blodgett Hospital Grand Rapids, MI · (616) 391-1774 HC ED AIRWAY INHALATION TREATMENT File of May 1, 2026 · source file $376.00 $376.00 — —
Corewell Health Butterworth Hospital Grand Rapids, MI · (616) 391-1774 Hc Ed Airway Inhalation Treatment+2 more lines at this price File of Apr 1, 2026 · source file $376.00 $376.00 — —
Corewell Health Blodgett Hospital East Grand Rapids, MI Hc Ed Airway Inhalation Treatment File of Apr 1, 2026 · source file $376.00 $376.00 — —
Corewell Health Zeeland Community Hospital Zeeland, MI · (616) 772-4644 Hc Airway Inhalation Treatment File of Apr 1, 2026 · source file $408.00 $408.00 — —
Corewell Health Greenville Hospital Greenville, MI · (616) 754-4691 Hc Airway Inhalation Treatment File of Apr 1, 2026 · source file $408.00 $408.00 — —
Corewell Health Greenville Hospital Greenville, MI · (616) 754-4691 Hc Ed Airway Inhalation Treatment File of Apr 1, 2026 · source file $417.00 $417.00 — —
Corewell Health Zeeland Community Hospital Zeeland, MI · (616) 772-4644 Hc Ed Airway Inhalation Treatment File of Apr 1, 2026 · source file $417.00 $417.00 — —
Corewell Helen Devos Childrens Hospital Grand Rapids, MI HC ED AIRWAY INHALATION TREATMENT File of May 1, 2026 · source file $470.00 $470.00 — —
Corewell Health Zeeland Community Hospital Zeeland, MI · (616) 772-4644 Hc Neb Tx Or Mdis Ordered Q 4 Or Q4 W/A, Q3 File of Apr 1, 2026 · source file $542.00 $542.00 — —
Corewell Health Greenville Hospital Greenville, MI · (616) 754-4691 Hc Neb Tx Or Mdis Ordered Q 4 Or Q4 W/A, Q3 File of Apr 1, 2026 · source file $542.00 $542.00 — —
Corewell Health Blodgett Hospital East Grand Rapids, MI Hc Neb Tx Or Mdis Ordered Q 4 Or Q4 W/A, Q3 File of Apr 1, 2026 · source file $553.00 $553.00 — —
Corewell Health Butterworth Hospital Grand Rapids, MI · (616) 391-1774 Hc Neb Tx Or Mdis Ordered Q 4 Or Q4 W/A, Q3+1 more line at this price File of Apr 1, 2026 · source file $553.00 $553.00 — —
Corewell Health Greenville Hospital Greenville, MI · (616) 754-4691 Hc Neb Tx Or Mdis Ordered Q2 File of Apr 1, 2026 · source file $814.00 $814.00 — —
Corewell Health Zeeland Community Hospital Zeeland, MI · (616) 772-4644 Hc Neb Tx Or Mdis Ordered Q2 File of Apr 1, 2026 · source file $814.00 $814.00 — —
Corewell Health Butterworth Hospital Grand Rapids, MI · (616) 391-1774 Hc Neb Tx Or Mdis Ordered Q2+1 more line at this price File of Apr 1, 2026 · source file $829.00 $829.00 — —
Corewell Health Blodgett Hospital East Grand Rapids, MI Hc Neb Tx Or Mdis Ordered Q2 File of Apr 1, 2026 · source file $829.00 $829.00 — —
Mercy Health Saint Marys Grand Rapids, MI · (616) 685-5000 HC Treatment Inhalation Pressurized/Nonpressurized Acute Airway Obstruction File of Mar 31, 2026 · source file $23,999.33 — $16.17–$10,899.73 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $60.80, median $203.00, highest $367.00 — a 6.0× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $205.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 5 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What breathing treatment is, what the price covers and why prices differ: Breathing treatment explained.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 94640 ($177.76). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
University of Michigan Health-Sparrow Carson Carson City, MIPressurized/Nonpressurized Inhalation Treatment $4.00 file
University of Michigan Health-Sparrow Ionia Ionia, MIPressurized/Nonpressurized Inhalation Treatment $4.00 file
File Link to the hospital's own price file.