Follow-up therapy service to facilitate lung function
Medicare pricing data for 41 providers across 6 states
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
Follow-up therapy service to facilitate lung function (HCPCS code 94668) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $32.54, but hospitals typically charge $35.54 — a 1.1x 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 $32.54, your out-of-pocket cost would be approximately $6.51. 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 1.1x more than what Medicare allows for this procedure. Medicare actually pays $25.68 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $45 | $64 | 11 | 423 | +37.5% |
| Oklahoma | $43 | $50 | 1 | 638 | +31.4% |
| Florida | $35 | $57 | 5 | 46 | +8.2% |
| Virginia | $35 | $56 | 6 | 21 | +8.2% |
| California | $30 | $31 | 10 | 4,588 | -7.5% |
| Puerto Rico | $25 | $26 | 2 | 87 | -22.6% |
⚠️ 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