Therapy procedure using a positive pressure ventilator
Medicare pricing data for 825 providers across 38 states
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
Therapy procedure using a positive pressure ventilator (HCPCS code 94660) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $61.82, but hospitals typically charge $156.75 — a 2.5x 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 $61.82, your out-of-pocket cost would be approximately $12.36. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $45.89 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $73 | $197 | 89 | 4,109 | +17.6% |
| New York | $72 | $241 | 28 | 765 | +16.1% |
| Washington | $71 | $230 | 8 | 526 | +15.1% |
| New Jersey | $69 | $144 | 22 | 924 | +11.4% |
| Hawaii | $68 | $210 | 1 | 12 | +10.6% |
| Connecticut | $67 | $197 | 19 | 592 | +8.4% |
| Maryland | $67 | $161 | 12 | 237 | +8.2% |
| Virginia | $66 | $161 | 23 | 506 | +6.6% |
| Massachusetts | $64 | $149 | 4 | 48 | +3.3% |
| Delaware | $64 | $80 | 1 | 21 | +2.9% |
| Puerto Rico | $63 | $65 | 3 | 421 | +1.8% |
| Colorado | $63 | $122 | 49 | 816 | +1.8% |
| Florida | $61 | $124 | 76 | 4,960 | -0.7% |
| Michigan | $61 | $127 | 21 | 252 | -1.0% |
| Missouri | $61 | $118 | 8 | 977 | -1.6% |
| Texas | $60 | $128 | 83 | 3,147 | -2.7% |
| Georgia | $60 | $161 | 69 | 1,024 | -3.0% |
| Nevada | $60 | $132 | 1 | 140 | -3.1% |
| Utah | $60 | $114 | 1 | 483 | -3.4% |
| Ohio | $59 | $97 | 29 | 421 | -4.2% |
| South Carolina | $59 | $173 | 15 | 1,317 | -4.5% |
| Illinois | $59 | $134 | 35 | 560 | -4.6% |
| Kansas | $59 | $188 | 7 | 16 | -5.2% |
| Pennsylvania | $58 | $125 | 25 | 145 | -6.5% |
| Louisiana | $58 | $90 | 5 | 79 | -6.8% |
| Kentucky | $57 | $293 | 7 | 216 | -8.0% |
| Arkansas | $57 | $139 | 2 | 32 | -8.5% |
| Arizona | $56 | $209 | 38 | 1,411 | -9.2% |
| North Carolina | $56 | $154 | 26 | 838 | -9.3% |
| New Mexico | $55 | $104 | 11 | 313 | -10.5% |
| Indiana | $54 | $103 | 12 | 262 | -12.0% |
| Oregon | $53 | $213 | 10 | 104 | -13.5% |
| Mississippi | $53 | $125 | 3 | 42 | -13.8% |
| Oklahoma | $50 | $90 | 4 | 198 | -18.5% |
| Alabama | $50 | $158 | 19 | 400 | -18.7% |
| Tennessee | $49 | $143 | 17 | 358 | -20.5% |
| Minnesota | $47 | $183 | 5 | 29 | -23.3% |
| Wisconsin | $37 | $246 | 7 | 817 | -40.9% |
⚠️ 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