94010

Test to measure expiratory airflow and volume

Medicare pricing data for 25,995 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $9 in North Dakota to $28 in New York. 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 measure expiratory airflow and volume (HCPCS code 94010) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.47, but hospitals typically charge $84.97 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.29

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $21.47, your out-of-pocket cost would be approximately $4.29. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$21.47
Average Hospital Charge
$84.97
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$84.97
Medicare Allowed$21.47
Medicare Payment$16.10

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $16.10 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$28$1162,09586,618+28.6%
New Jersey$27$9878035,565+25.7%
Puerto Rico$26$3437403+19.8%
Nevada$25$792474,726+16.5%
California$25$841,71061,818+16.1%
Maryland$25$8653826,309+15.0%
Arizona$24$6365519,879+10.9%
Connecticut$24$9736810,409+10.6%
Florida$23$821,69551,659+8.5%
Georgia$23$991,01431,138+6.2%
Colorado$23$725028,512+5.4%
Rhode Island$22$761073,611+3.2%
Delaware$22$63562,711+2.7%
Minnesota$22$11339910,596+1.4%
Virginia$22$6573136,674+1.1%
Alaska$22$129901,444+0.7%
North Carolina$22$8995922,767+0.5%
Texas$21$722,11768,119-0.4%
Nebraska$20$641892,336-5.5%
Hawaii$20$4361592-6.5%
Illinois$20$9376117,491-6.9%
Pennsylvania$20$951,01835,894-7.5%
South Carolina$20$8546323,720-8.9%
Tennessee$20$8390231,634-9.0%
Washington$20$694348,381-9.2%
Kentucky$19$7147113,454-9.5%
Oregon$19$792574,065-10.5%
Mississippi$19$11120720,207-10.6%
District of Columbia$19$58561,703-11.8%
Oklahoma$19$5832010,128-11.9%
Alabama$19$6054713,884-12.5%
New Mexico$19$671363,405-13.2%
Massachusetts$19$7759019,893-13.7%
Missouri$18$7248616,318-16.1%
Indiana$18$7443512,491-16.5%
Arkansas$18$7125110,295-16.7%
Kansas$18$922408,605-17.7%
Michigan$17$601,25425,695-20.4%
Louisiana$17$853209,996-21.8%
West Virginia$16$651453,184-23.5%
Utah$16$472003,936-27.1%
Montana$16$55763,038-27.1%
New Hampshire$15$1231303,819-30.2%
Wisconsin$15$16837411,518-32.2%
Idaho$14$501242,646-32.5%
Ohio$14$6090423,083-33.3%
Iowa$14$7121411,134-33.5%
South Dakota$13$49711,979-38.9%
Wyoming$13$3934503-41.1%
Maine$12$105951,504-44.8%
Vermont$11$68651,715-50.0%
North Dakota$9$67572,458-57.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber