Measurement of hydrogen in breath to test for stomach and bowel symptoms
Medicare pricing data for 2,149 providers across 46 states
Prices vary significantly by location — from $9 in North Dakota to $92 in New Jersey. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Measurement of hydrogen in breath to test for stomach and bowel symptoms (HCPCS code 91065) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $72.76, but hospitals typically charge $219.34 — a 3.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $72.76, your out-of-pocket cost would be approximately $14.55. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $55.21 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $92 | $307 | 137 | 1,136 | +26.9% |
| Massachusetts | $85 | $274 | 68 | 10,552 | +16.9% |
| Delaware | $85 | $173 | 2 | 29 | +16.4% |
| Maine | $84 | $153 | 1 | 31 | +16.0% |
| Puerto Rico | $83 | $87 | 6 | 17 | +14.4% |
| New York | $81 | $230 | 245 | 2,716 | +11.8% |
| Arizona | $81 | $188 | 35 | 10,815 | +11.3% |
| Nevada | $81 | $218 | 32 | 323 | +11.1% |
| Florida | $78 | $233 | 153 | 1,227 | +7.8% |
| Louisiana | $75 | $149 | 8 | 94 | +2.6% |
| Tennessee | $75 | $241 | 75 | 602 | +2.4% |
| Arkansas | $74 | $274 | 4 | 36 | +2.0% |
| Nebraska | $72 | $248 | 45 | 767 | -1.3% |
| Maryland | $71 | $177 | 61 | 1,349 | -2.1% |
| Oregon | $70 | $300 | 31 | 178 | -4.1% |
| Oklahoma | $70 | $169 | 8 | 47 | -4.3% |
| South Carolina | $69 | $318 | 26 | 173 | -4.7% |
| Texas | $69 | $196 | 93 | 1,259 | -5.2% |
| Mississippi | $69 | $182 | 46 | 306 | -5.5% |
| Missouri | $63 | $166 | 54 | 469 | -12.8% |
| North Carolina | $63 | $250 | 79 | 2,105 | -13.7% |
| West Virginia | $62 | $232 | 8 | 63 | -14.6% |
| California | $62 | $194 | 150 | 3,891 | -15.1% |
| Virginia | $59 | $170 | 47 | 524 | -19.0% |
| Washington | $55 | $176 | 47 | 225 | -24.6% |
| Illinois | $54 | $276 | 72 | 508 | -25.1% |
| Iowa | $54 | $202 | 46 | 888 | -26.2% |
| Pennsylvania | $53 | $179 | 118 | 723 | -27.5% |
| New Mexico | $49 | $196 | 3 | 66 | -32.5% |
| Kentucky | $48 | $106 | 11 | 73 | -33.7% |
| Kansas | $46 | $220 | 24 | 140 | -36.5% |
| Minnesota | $46 | $258 | 45 | 632 | -36.9% |
| Indiana | $44 | $142 | 17 | 43 | -40.2% |
| Utah | $43 | $119 | 23 | 232 | -40.2% |
| Wyoming | $42 | $88 | 5 | 72 | -42.7% |
| Connecticut | $40 | $153 | 48 | 368 | -44.5% |
| New Hampshire | $40 | $243 | 16 | 183 | -45.0% |
| Michigan | $35 | $161 | 50 | 543 | -51.5% |
| Georgia | $34 | $131 | 18 | 279 | -53.1% |
| Wisconsin | $31 | $238 | 42 | 199 | -56.8% |
| Ohio | $31 | $116 | 63 | 638 | -57.1% |
| Colorado | $30 | $101 | 22 | 298 | -58.2% |
| District of Columbia | $19 | $68 | 8 | 54 | -74.3% |
| Rhode Island | $12 | $82 | 13 | 41 | -84.0% |
| South Dakota | $9 | $10 | 2 | 33 | -87.0% |
| North Dakota | $9 | $36 | 7 | 64 | -87.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber