94729

Test to examine how well the lungs exchange gases

Medicare pricing data for 15,965 providers across 52 states

🤖AI Overview

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

$7.06

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.

Average Allowed Cost
$35.28
Average Hospital Charge
$109.43
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$109.43
Medicare Allowed$35.28
Medicare Payment$27.03

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$54$64882,044+53.1%
New York$52$1781,11681,242+46.7%
New Jersey$48$15459333,892+35.4%
Maryland$46$12829026,081+31.3%
Florida$45$1051,21987,460+27.2%
Nevada$44$1341138,039+25.7%
Georgia$44$14652630,694+23.9%
Arizona$43$10128823,394+22.9%
California$43$1121,06872,351+22.3%
District of Columbia$40$124492,303+14.4%
Virginia$39$10144230,287+11.3%
Minnesota$38$17725115,970+9.0%
North Carolina$38$12456734,041+8.4%
Texas$38$1121,04663,818+7.2%
Alabama$38$8733517,749+7.0%
Connecticut$36$12625311,502+1.2%
Delaware$35$85214,637-2.0%
Tennessee$34$9745223,853-3.2%
South Carolina$34$10827418,761-3.5%
Mississippi$34$12115611,777-4.0%
Washington$34$10534217,139-4.0%
Kansas$31$1081449,864-12.3%
New Mexico$31$89603,856-13.5%
Rhode Island$30$109624,095-13.9%
Nebraska$30$661287,142-15.1%
Colorado$28$10230512,490-20.1%
Illinois$27$11555034,692-22.7%
Kentucky$27$7128613,916-24.3%
Michigan$27$6561929,613-24.8%
Arkansas$25$73989,002-28.5%
West Virginia$25$751145,559-28.7%
Pennsylvania$24$7676540,855-31.1%
Oregon$24$931857,934-31.8%
Alaska$23$106301,373-36.1%
Indiana$22$6536620,798-36.8%
Maine$22$111652,516-37.2%
Missouri$21$7636620,592-39.5%
Hawaii$21$4740941-40.1%
Oklahoma$20$521729,344-43.1%
Wisconsin$20$19626114,028-43.4%
Montana$20$68542,913-43.5%
Utah$20$63844,983-43.7%
Louisiana$20$961809,425-44.7%
Iowa$19$7714410,328-46.2%
Massachusetts$19$7936626,196-46.4%
Ohio$18$6073232,874-49.1%
Wyoming$15$578597-58.9%
South Dakota$13$38493,154-63.3%
Vermont$12$43331,581-66.7%
North Dakota$11$42563,205-67.8%
New Hampshire$11$94725,686-68.6%
Idaho$11$45784,618-69.7%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber