Inhalation treatment for airway obstruction or sputum production
Medicare pricing data for 45,069 providers across 52 states
This procedure has a 6.0x markup — hospitals charge $51.51 but Medicare allows only $8.54. Uninsured patients may face bills 6.0 times higher than what insurance negotiates. 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
Inhalation treatment for airway obstruction or sputum production (HCPCS code 94640) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $8.54, but hospitals typically charge $51.51 — a 6.0x 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 $8.54, your out-of-pocket cost would be approximately $1.71. 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 6.0x more than what Medicare allows for this procedure. Medicare actually pays $6.20 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $10 | $58 | 2,132 | 13,423 | +22.8% |
| New Jersey | $10 | $65 | 1,098 | 6,957 | +18.3% |
| California | $10 | $60 | 3,732 | 24,356 | +17.0% |
| Hawaii | $9 | $61 | 94 | 326 | +9.1% |
| Maryland | $9 | $56 | 1,097 | 7,180 | +9.1% |
| District of Columbia | $9 | $55 | 80 | 287 | +8.2% |
| Connecticut | $9 | $57 | 409 | 1,103 | +6.6% |
| Puerto Rico | $9 | $18 | 40 | 524 | +4.4% |
| Massachusetts | $9 | $56 | 1,076 | 4,553 | +3.7% |
| Rhode Island | $9 | $35 | 144 | 583 | +2.8% |
| Alaska | $9 | $84 | 178 | 791 | +2.8% |
| Illinois | $9 | $40 | 1,571 | 17,176 | +0.8% |
| Nevada | $9 | $55 | 470 | 3,047 | +0.4% |
| Virginia | $9 | $47 | 1,371 | 5,942 | -0.1% |
| Florida | $8 | $41 | 3,249 | 23,329 | -0.8% |
| Washington | $8 | $49 | 938 | 3,026 | -0.9% |
| Delaware | $8 | $41 | 154 | 1,110 | -1.1% |
| Colorado | $8 | $42 | 885 | 2,574 | -1.6% |
| Michigan | $8 | $42 | 1,432 | 6,279 | -2.5% |
| Pennsylvania | $8 | $50 | 1,733 | 6,920 | -2.8% |
| Minnesota | $8 | $61 | 632 | 1,787 | -3.2% |
| New Hampshire | $8 | $57 | 278 | 1,389 | -4.8% |
| Arizona | $8 | $49 | 1,095 | 6,631 | -4.8% |
| Texas | $8 | $55 | 3,434 | 14,767 | -5.2% |
| South Dakota | $8 | $44 | 97 | 247 | -5.4% |
| Montana | $8 | $68 | 161 | 552 | -6.1% |
| North Dakota | $8 | $74 | 86 | 231 | -6.3% |
| Oregon | $8 | $43 | 460 | 1,255 | -6.6% |
| Wyoming | $8 | $62 | 158 | 628 | -7.1% |
| Georgia | $8 | $63 | 1,815 | 7,909 | -7.7% |
| Vermont | $8 | $42 | 72 | 228 | -8.8% |
| Ohio | $8 | $48 | 1,459 | 4,140 | -10.3% |
| Missouri | $8 | $48 | 567 | 2,252 | -10.5% |
| Wisconsin | $8 | $131 | 778 | 2,364 | -10.7% |
| Maine | $8 | $57 | 120 | 574 | -11.2% |
| North Carolina | $8 | $50 | 2,119 | 7,223 | -11.9% |
| South Carolina | $8 | $62 | 938 | 4,540 | -11.9% |
| Utah | $8 | $40 | 397 | 1,218 | -11.9% |
| Indiana | $7 | $46 | 992 | 3,122 | -13.5% |
| Nebraska | $7 | $43 | 319 | 723 | -13.8% |
| Louisiana | $7 | $63 | 753 | 2,982 | -13.9% |
| Kansas | $7 | $44 | 422 | 1,336 | -14.4% |
| Iowa | $7 | $49 | 341 | 998 | -14.5% |
| Alabama | $7 | $38 | 994 | 3,891 | -14.6% |
| Tennessee | $7 | $45 | 1,418 | 5,783 | -14.8% |
| New Mexico | $7 | $44 | 297 | 1,174 | -14.9% |
| West Virginia | $7 | $44 | 177 | 580 | -15.0% |
| Kentucky | $7 | $44 | 667 | 2,169 | -15.3% |
| Oklahoma | $7 | $37 | 686 | 2,307 | -15.9% |
| Idaho | $7 | $37 | 254 | 675 | -16.5% |
| Arkansas | $7 | $36 | 567 | 2,164 | -18.3% |
| Mississippi | $7 | $43 | 581 | 2,252 | -19.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber