94070

Test to measure lung airway sensitivity

Medicare pricing data for 2,585 providers across 48 states

🤖AI Overview

Prices vary significantly by location — from $26 in Mississippi to $71 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 to measure lung airway sensitivity (HCPCS code 94070) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $46.21, but hospitals typically charge $161.53 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.24

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $46.21, your out-of-pocket cost would be approximately $9.24. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$46.21
Average Hospital Charge
$161.53
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$161.53
Medicare Allowed$46.21
Medicare Payment$35.93

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $35.93 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$71$290617+54.0%
California$66$981083,026+43.3%
New York$66$2781231,420+41.9%
Maryland$55$20226147+20.0%
New Jersey$54$17054270+17.8%
New Mexico$54$135626+15.9%
Minnesota$53$28563504+14.4%
Texas$51$14186865+11.2%
Arizona$50$25521205+8.7%
Florida$50$193112940+7.7%
Virginia$48$18186569+4.8%
District of Columbia$48$1281348+4.6%
Tennessee$48$20184328+4.3%
Connecticut$42$2052848-9.9%
Oklahoma$36$9729104-21.0%
Arkansas$36$13528149-21.4%
Colorado$36$10778155-21.6%
Montana$36$1121246-21.8%
Alabama$36$11927139-22.4%
Oregon$35$16651120-25.2%
Georgia$35$13955186-25.3%
Illinois$34$239164980-26.0%
New Hampshire$34$1772689-26.4%
Wisconsin$33$30287321-29.2%
Washington$32$16152122-29.9%
Pennsylvania$32$100170484-31.6%
Rhode Island$31$1001440-32.3%
South Carolina$30$12166247-35.1%
Indiana$29$13298242-36.3%
Kansas$29$12327147-36.6%
Michigan$29$9593377-37.2%
Massachusetts$29$110114673-38.1%
Kentucky$29$12833176-38.1%
Iowa$28$13336170-38.6%
Missouri$28$11298443-39.3%
Ohio$28$109171490-39.7%
North Carolina$28$11359231-40.2%
Idaho$28$15318204-40.4%
Delaware$27$83886-40.6%
North Dakota$27$1191158-41.6%
Utah$27$99918-41.7%
South Dakota$27$106920-41.7%
Vermont$27$1991433-42.1%
Maine$27$575713-42.4%
Louisiana$26$21127148-42.7%
Nebraska$26$852656-43.2%
West Virginia$26$951732-43.4%
Mississippi$26$201517-43.5%

⚠️ 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