Test for exercise-induced spasm of lung airways
Medicare pricing data for 160 providers across 19 states
Prices vary significantly by location — from $28 in Kentucky to $102 in New York. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 for exercise-induced spasm of lung airways (HCPCS code 94617) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $70.00, but hospitals typically charge $133.47 — a 1.9x 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 $70.00, your out-of-pocket cost would be approximately $14.00. 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 1.9x more than what Medicare allows for this procedure. Medicare actually pays $54.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $102 | $198 | 6 | 969 | +45.2% |
| Maryland | $99 | $192 | 6 | 19 | +41.2% |
| Massachusetts | $95 | $153 | 2 | 114 | +35.8% |
| California | $93 | $269 | 15 | 553 | +32.8% |
| Rhode Island | $89 | $211 | 3 | 71 | +27.3% |
| Illinois | $89 | $110 | 7 | 69 | +26.5% |
| South Carolina | $81 | $142 | 2 | 43 | +15.5% |
| North Carolina | $81 | $144 | 8 | 446 | +15.1% |
| Ohio | $76 | $183 | 6 | 15 | +7.9% |
| Alabama | $74 | $132 | 11 | 194 | +6.0% |
| Indiana | $74 | $75 | 1 | 18 | +5.5% |
| Virginia | $70 | $122 | 4 | 130 | +0.6% |
| Texas | $63 | $100 | 20 | 111 | -10.0% |
| Florida | $53 | $85 | 28 | 3,077 | -24.0% |
| Connecticut | $33 | $117 | 5 | 61 | -53.1% |
| Pennsylvania | $32 | $126 | 6 | 12 | -54.5% |
| West Virginia | $30 | $175 | 1 | 17 | -57.0% |
| Mississippi | $30 | $200 | 7 | 69 | -57.1% |
| Kentucky | $28 | $55 | 6 | 14 | -59.3% |
⚠️ 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