Test to measure largest amount of air breathed in an out
Medicare pricing data for 1,271 providers across 36 states
Prices vary significantly by location — from $3 in Oklahoma to $18 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 largest amount of air breathed in an out (HCPCS code 94200) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.39, but hospitals typically charge $52.84 — a 3.7x 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 $14.39, your out-of-pocket cost would be approximately $2.88. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $11.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $18 | $84 | 97 | 7,070 | +23.7% |
| District of Columbia | $16 | $55 | 7 | 176 | +12.0% |
| California | $15 | $47 | 155 | 15,322 | +7.6% |
| Maryland | $15 | $57 | 14 | 1,377 | +5.2% |
| Nevada | $15 | $58 | 5 | 24 | +2.1% |
| Puerto Rico | $14 | $31 | 21 | 1,809 | +0.1% |
| Washington | $14 | $47 | 12 | 34 | -0.3% |
| New Jersey | $14 | $52 | 42 | 2,109 | -1.2% |
| Michigan | $14 | $55 | 30 | 263 | -3.3% |
| Rhode Island | $14 | $42 | 4 | 12 | -3.6% |
| Florida | $14 | $40 | 151 | 5,908 | -5.3% |
| Iowa | $14 | $71 | 1 | 59 | -5.5% |
| North Carolina | $13 | $53 | 31 | 920 | -6.4% |
| New Mexico | $13 | $135 | 6 | 156 | -6.9% |
| Texas | $13 | $58 | 41 | 830 | -6.9% |
| Colorado | $13 | $33 | 41 | 524 | -8.0% |
| Kentucky | $13 | $58 | 4 | 165 | -8.2% |
| Arizona | $13 | $49 | 88 | 1,081 | -9.7% |
| Tennessee | $13 | $60 | 34 | 522 | -10.7% |
| Missouri | $13 | $49 | 23 | 1,415 | -11.6% |
| Georgia | $13 | $63 | 42 | 1,069 | -12.4% |
| Alabama | $13 | $52 | 74 | 4,609 | -12.6% |
| Mississippi | $12 | $49 | 33 | 1,832 | -14.2% |
| Ohio | $12 | $51 | 19 | 136 | -15.4% |
| Louisiana | $12 | $51 | 4 | 27 | -16.7% |
| Connecticut | $11 | $53 | 23 | 149 | -23.3% |
| Indiana | $9 | $40 | 35 | 372 | -35.0% |
| Illinois | $9 | $46 | 26 | 375 | -35.4% |
| South Carolina | $9 | $65 | 7 | 16 | -36.0% |
| Pennsylvania | $6 | $40 | 56 | 275 | -55.5% |
| Massachusetts | $6 | $45 | 16 | 471 | -59.6% |
| Wisconsin | $5 | $99 | 11 | 138 | -63.8% |
| Virginia | $3 | $19 | 18 | 50 | -80.1% |
| West Virginia | $3 | $29 | 4 | 24 | -81.5% |
| Hawaii | $3 | $11 | 3 | 86 | -81.8% |
| Oklahoma | $3 | $19 | 10 | 68 | -82.1% |
⚠️ 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