94618

Test for exercise-induced lung stress

Medicare pricing data for 12,157 providers across 52 states

🤖AI Overview

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

Test for exercise-induced lung stress (HCPCS code 94618) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $29.20, but hospitals typically charge $113.28 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $29.20, your out-of-pocket cost would be approximately $5.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$29.20
Average Hospital Charge
$113.28
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$113.28
Medicare Allowed$29.20
Medicare Payment$22.35

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $22.35 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$34$16567711,983+17.7%
New Jersey$34$1403217,617+15.6%
Maryland$33$921624,387+12.7%
Puerto Rico$33$4124238+12.1%
California$32$12384623,314+10.3%
Colorado$32$803173,641+9.3%
Georgia$32$11547310,024+8.0%
Nevada$31$971183,180+7.8%
Florida$31$9198225,743+6.7%
Alaska$31$17221259+6.0%
Maine$31$6938565+5.9%
Connecticut$31$1021713,522+5.1%
Washington$31$982314,497+4.6%
Rhode Island$30$9040613+2.9%
Arizona$30$1002495,377+2.6%
District of Columbia$29$9734657+0.7%
Texas$29$10390924,311-0.2%
Alabama$29$822204,518-1.8%
Illinois$29$13448413,180-2.2%
Virginia$28$763077,916-2.9%
Montana$28$12230249-3.2%
North Carolina$28$11648411,197-4.6%
Oregon$28$881131,242-4.9%
South Carolina$28$1392465,943-5.4%
Indiana$27$1002734,257-6.3%
New Mexico$27$88821,233-6.8%
Oklahoma$27$8356494-6.8%
Utah$27$7759566-7.4%
Kentucky$27$832582,551-7.6%
Pennsylvania$27$9674014,126-7.8%
Michigan$27$884766,478-8.4%
Massachusetts$27$952023,291-8.4%
Minnesota$27$1852024,417-9.2%
Delaware$26$106241,071-9.4%
Tennessee$26$1092593,652-10.3%
Missouri$26$2082727,017-10.5%
Nebraska$26$781451,805-11.1%
Mississippi$25$13672716-13.6%
Arkansas$25$831092,165-13.9%
Wisconsin$25$2761733,324-14.4%
Kansas$25$1401071,412-14.4%
Ohio$24$805718,975-16.4%
Iowa$24$9178974-17.3%
Louisiana$24$781152,185-18.0%
Wyoming$24$8534133-18.7%
West Virginia$24$1031251,130-19.4%
New Hampshire$23$13352536-21.4%
Hawaii$23$65726-22.3%
Idaho$22$7862339-25.0%
Vermont$22$9536639-25.4%
North Dakota$22$9932654-25.8%
South Dakota$21$4732560-27.2%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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