Evaluation of use of breathing device
Medicare pricing data for 6,097 providers across 49 states
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
Evaluation of use of breathing device (HCPCS code 94664) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.10, but hospitals typically charge $46.04 — a 2.7x 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 $17.10, your out-of-pocket cost would be approximately $3.42. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $13.04 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $21 | $38 | 6 | 44 | +22.0% |
| New York | $20 | $50 | 447 | 10,544 | +19.2% |
| California | $20 | $54 | 470 | 13,405 | +14.4% |
| New Jersey | $19 | $61 | 213 | 3,280 | +13.6% |
| Massachusetts | $19 | $56 | 86 | 675 | +10.6% |
| Alaska | $19 | $55 | 1 | 19 | +8.5% |
| Connecticut | $19 | $54 | 84 | 1,844 | +8.2% |
| Maryland | $18 | $51 | 118 | 2,403 | +4.2% |
| Oklahoma | $18 | $39 | 49 | 1,223 | +4.2% |
| Hawaii | $18 | $55 | 6 | 15 | +4.1% |
| Pennsylvania | $18 | $41 | 227 | 2,744 | +3.1% |
| New Hampshire | $18 | $43 | 6 | 153 | +2.9% |
| Rhode Island | $17 | $28 | 21 | 206 | +2.3% |
| Colorado | $17 | $37 | 93 | 956 | +1.9% |
| Washington | $17 | $43 | 55 | 278 | +1.5% |
| Virginia | $17 | $40 | 129 | 2,635 | +0.2% |
| Delaware | $17 | $52 | 37 | 1,786 | -0.2% |
| Minnesota | $17 | $75 | 115 | 502 | -1.2% |
| Nevada | $17 | $44 | 58 | 2,231 | -1.3% |
| Montana | $17 | $44 | 12 | 61 | -2.1% |
| Oregon | $17 | $53 | 61 | 510 | -3.2% |
| Michigan | $17 | $35 | 164 | 1,499 | -3.3% |
| Illinois | $16 | $52 | 169 | 3,324 | -3.6% |
| Puerto Rico | $16 | $21 | 36 | 456 | -4.2% |
| Florida | $16 | $38 | 593 | 12,469 | -4.5% |
| Texas | $16 | $44 | 477 | 8,979 | -4.7% |
| Vermont | $16 | $35 | 5 | 32 | -4.9% |
| Arizona | $16 | $51 | 208 | 2,757 | -5.1% |
| Wisconsin | $16 | $142 | 50 | 220 | -5.5% |
| Maine | $16 | $36 | 8 | 26 | -6.8% |
| Georgia | $16 | $51 | 237 | 2,981 | -8.4% |
| Ohio | $16 | $28 | 271 | 2,295 | -9.4% |
| North Carolina | $15 | $45 | 274 | 3,007 | -9.6% |
| Missouri | $15 | $116 | 74 | 749 | -10.9% |
| Indiana | $15 | $46 | 176 | 1,671 | -11.1% |
| South Carolina | $15 | $52 | 134 | 1,690 | -12.0% |
| Kansas | $15 | $44 | 56 | 825 | -12.0% |
| Iowa | $15 | $46 | 29 | 240 | -13.4% |
| Nebraska | $15 | $34 | 51 | 288 | -13.6% |
| Louisiana | $15 | $34 | 86 | 1,465 | -14.7% |
| Tennessee | $15 | $39 | 199 | 2,044 | -15.0% |
| Alabama | $14 | $32 | 164 | 4,309 | -15.3% |
| Kentucky | $14 | $37 | 102 | 960 | -15.6% |
| Utah | $14 | $39 | 21 | 334 | -15.8% |
| West Virginia | $14 | $32 | 16 | 105 | -15.8% |
| Mississippi | $14 | $41 | 78 | 3,281 | -16.4% |
| Arkansas | $14 | $34 | 74 | 763 | -17.8% |
| New Mexico | $14 | $43 | 31 | 174 | -18.0% |
| Idaho | $14 | $37 | 11 | 17 | -19.2% |
⚠️ 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