Test to examine how well the lungs exchange gases
Medicare pricing data for 15,965 providers across 52 states
Prices vary significantly by location — from $11 in Idaho to $54 in Puerto Rico. 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 to examine how well the lungs exchange gases (HCPCS code 94729) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $35.28, but hospitals typically charge $109.43 — 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 $35.28, your out-of-pocket cost would be approximately $7.06. 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 $27.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $54 | $64 | 88 | 2,044 | +53.1% |
| New York | $52 | $178 | 1,116 | 81,242 | +46.7% |
| New Jersey | $48 | $154 | 593 | 33,892 | +35.4% |
| Maryland | $46 | $128 | 290 | 26,081 | +31.3% |
| Florida | $45 | $105 | 1,219 | 87,460 | +27.2% |
| Nevada | $44 | $134 | 113 | 8,039 | +25.7% |
| Georgia | $44 | $146 | 526 | 30,694 | +23.9% |
| Arizona | $43 | $101 | 288 | 23,394 | +22.9% |
| California | $43 | $112 | 1,068 | 72,351 | +22.3% |
| District of Columbia | $40 | $124 | 49 | 2,303 | +14.4% |
| Virginia | $39 | $101 | 442 | 30,287 | +11.3% |
| Minnesota | $38 | $177 | 251 | 15,970 | +9.0% |
| North Carolina | $38 | $124 | 567 | 34,041 | +8.4% |
| Texas | $38 | $112 | 1,046 | 63,818 | +7.2% |
| Alabama | $38 | $87 | 335 | 17,749 | +7.0% |
| Connecticut | $36 | $126 | 253 | 11,502 | +1.2% |
| Delaware | $35 | $85 | 21 | 4,637 | -2.0% |
| Tennessee | $34 | $97 | 452 | 23,853 | -3.2% |
| South Carolina | $34 | $108 | 274 | 18,761 | -3.5% |
| Mississippi | $34 | $121 | 156 | 11,777 | -4.0% |
| Washington | $34 | $105 | 342 | 17,139 | -4.0% |
| Kansas | $31 | $108 | 144 | 9,864 | -12.3% |
| New Mexico | $31 | $89 | 60 | 3,856 | -13.5% |
| Rhode Island | $30 | $109 | 62 | 4,095 | -13.9% |
| Nebraska | $30 | $66 | 128 | 7,142 | -15.1% |
| Colorado | $28 | $102 | 305 | 12,490 | -20.1% |
| Illinois | $27 | $115 | 550 | 34,692 | -22.7% |
| Kentucky | $27 | $71 | 286 | 13,916 | -24.3% |
| Michigan | $27 | $65 | 619 | 29,613 | -24.8% |
| Arkansas | $25 | $73 | 98 | 9,002 | -28.5% |
| West Virginia | $25 | $75 | 114 | 5,559 | -28.7% |
| Pennsylvania | $24 | $76 | 765 | 40,855 | -31.1% |
| Oregon | $24 | $93 | 185 | 7,934 | -31.8% |
| Alaska | $23 | $106 | 30 | 1,373 | -36.1% |
| Indiana | $22 | $65 | 366 | 20,798 | -36.8% |
| Maine | $22 | $111 | 65 | 2,516 | -37.2% |
| Missouri | $21 | $76 | 366 | 20,592 | -39.5% |
| Hawaii | $21 | $47 | 40 | 941 | -40.1% |
| Oklahoma | $20 | $52 | 172 | 9,344 | -43.1% |
| Wisconsin | $20 | $196 | 261 | 14,028 | -43.4% |
| Montana | $20 | $68 | 54 | 2,913 | -43.5% |
| Utah | $20 | $63 | 84 | 4,983 | -43.7% |
| Louisiana | $20 | $96 | 180 | 9,425 | -44.7% |
| Iowa | $19 | $77 | 144 | 10,328 | -46.2% |
| Massachusetts | $19 | $79 | 366 | 26,196 | -46.4% |
| Ohio | $18 | $60 | 732 | 32,874 | -49.1% |
| Wyoming | $15 | $57 | 8 | 597 | -58.9% |
| South Dakota | $13 | $38 | 49 | 3,154 | -63.3% |
| Vermont | $12 | $43 | 33 | 1,581 | -66.7% |
| North Dakota | $11 | $42 | 56 | 3,205 | -67.8% |
| New Hampshire | $11 | $94 | 72 | 5,686 | -68.6% |
| Idaho | $11 | $45 | 78 | 4,618 | -69.7% |
⚠️ 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