Test for exercise-induced heart and lung stress
Medicare pricing data for 1,694 providers across 47 states
Prices vary significantly by location — from $61 in Wisconsin to $184 in Alaska. 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
Test for exercise-induced heart and lung stress (HCPCS code 94621) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $108.59, but hospitals typically charge $331.91 — a 3.1x 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 $108.59, your out-of-pocket cost would be approximately $21.72. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $82.97 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $184 | $1,347 | 3 | 25 | +69.7% |
| District of Columbia | $153 | $409 | 23 | 174 | +40.9% |
| Maryland | $150 | $390 | 30 | 280 | +38.3% |
| New York | $143 | $369 | 183 | 2,510 | +31.6% |
| New Jersey | $139 | $384 | 56 | 539 | +27.9% |
| Georgia | $129 | $374 | 52 | 818 | +19.2% |
| Florida | $128 | $321 | 170 | 2,370 | +17.4% |
| Arkansas | $126 | $314 | 11 | 210 | +15.8% |
| Alabama | $118 | $258 | 12 | 201 | +8.7% |
| Nebraska | $110 | $293 | 24 | 151 | +1.7% |
| California | $110 | $288 | 129 | 1,490 | +1.3% |
| Tennessee | $110 | $446 | 26 | 372 | +1.2% |
| Texas | $103 | $343 | 115 | 1,903 | -5.4% |
| Delaware | $103 | $396 | 5 | 34 | -5.6% |
| South Carolina | $99 | $328 | 24 | 157 | -8.7% |
| Illinois | $97 | $402 | 64 | 508 | -10.6% |
| Connecticut | $95 | $382 | 32 | 364 | -12.6% |
| North Carolina | $94 | $339 | 44 | 420 | -13.8% |
| Kentucky | $92 | $190 | 34 | 209 | -15.2% |
| Washington | $92 | $210 | 31 | 200 | -15.2% |
| Virginia | $89 | $221 | 50 | 391 | -18.4% |
| Arizona | $86 | $234 | 32 | 306 | -20.7% |
| Pennsylvania | $81 | $226 | 85 | 545 | -25.6% |
| Massachusetts | $80 | $332 | 48 | 1,251 | -26.3% |
| Oklahoma | $77 | $173 | 14 | 75 | -28.7% |
| Missouri | $75 | $318 | 22 | 92 | -31.1% |
| Michigan | $75 | $232 | 58 | 336 | -31.3% |
| Minnesota | $73 | $334 | 25 | 161 | -32.8% |
| Louisiana | $69 | $245 | 11 | 119 | -36.4% |
| Ohio | $69 | $340 | 65 | 467 | -36.8% |
| Rhode Island | $68 | $229 | 1 | 16 | -37.4% |
| Colorado | $68 | $270 | 18 | 102 | -37.8% |
| Nevada | $67 | $279 | 8 | 16 | -38.0% |
| New Hampshire | $67 | $768 | 7 | 26 | -38.1% |
| Oregon | $67 | $239 | 14 | 105 | -38.2% |
| Hawaii | $66 | $175 | 1 | 22 | -38.9% |
| Montana | $66 | $170 | 5 | 21 | -38.9% |
| Maine | $66 | $152 | 12 | 33 | -39.0% |
| North Dakota | $66 | $216 | 2 | 93 | -39.5% |
| Vermont | $65 | $319 | 4 | 24 | -39.8% |
| Indiana | $65 | $266 | 28 | 145 | -39.9% |
| Utah | $65 | $152 | 7 | 26 | -40.2% |
| Kansas | $65 | $265 | 22 | 117 | -40.5% |
| Idaho | $64 | $201 | 5 | 64 | -41.0% |
| Mississippi | $63 | $225 | 9 | 29 | -41.7% |
| Iowa | $63 | $513 | 18 | 50 | -42.3% |
| Wisconsin | $61 | $834 | 25 | 158 | -43.6% |
⚠️ 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