94375

Test to measure rate of airflow

Medicare pricing data for 3,902 providers across 48 states

🤖AI Overview

Prices vary significantly by location — from $13 in South Dakota to $41 in New Jersey. 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 rate of airflow (HCPCS code 94375) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.11, but hospitals typically charge $94.61 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.62

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $33.11, your out-of-pocket cost would be approximately $6.62. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$33.11
Average Hospital Charge
$94.61
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$94.61
Medicare Allowed$33.11
Medicare Payment$25.06

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $25.06 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$41$1151088,279+23.2%
Hawaii$41$1677337+22.9%
District of Columbia$40$105311,291+20.8%
California$39$7519419,283+16.6%
Puerto Rico$38$62372,405+13.3%
Delaware$37$150368+11.8%
Nevada$37$114323,456+11.3%
Arizona$36$86555,993+9.3%
Utah$36$907475+7.4%
Florida$36$671716,005+7.3%
Maryland$35$79985,966+6.7%
Texas$35$8230714,163+6.4%
South Carolina$35$112554,973+6.1%
New Mexico$35$439264+5.4%
Minnesota$35$1731234,650+5.4%
Georgia$35$1421275,097+4.5%
Pennsylvania$34$841828,251+3.7%
Maine$34$7528663+3.2%
West Virginia$34$1055375+3.0%
Michigan$34$79561,136+2.5%
Washington$34$88701,597+1.6%
Montana$34$100631+1.5%
Alabama$33$60655,854+1.1%
Oregon$33$116341,467+0.9%
Virginia$33$79881,594+0.4%
Arkansas$33$7317337-0.6%
Tennessee$33$101953,790-1.0%
Kansas$32$95452,780-2.8%
Ohio$32$792442,953-3.4%
Missouri$32$911096,593-3.8%
New York$31$10524414,524-5.0%
Oklahoma$31$8330327-5.5%
Illinois$31$12517913,458-6.5%
Indiana$31$931593,370-7.2%
Kentucky$29$78802,178-11.6%
Mississippi$29$74684,480-13.7%
Colorado$29$791636,917-13.9%
North Carolina$27$9227612,551-19.7%
Connecticut$26$143711,776-21.1%
Rhode Island$25$729496-23.7%
Iowa$22$936786-34.3%
Massachusetts$21$78923,710-37.4%
Alaska$18$80421-46.0%
New Hampshire$16$508176-50.9%
Nebraska$15$4820730-53.4%
Louisiana$15$22132715-54.1%
Wisconsin$15$12633235-54.5%
South Dakota$13$123118-60.0%

⚠️ 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