Test to determine lung volumes using sensors
Medicare pricing data for 12,280 providers across 52 states
Prices vary significantly by location — from $13 in Idaho to $49 in Puerto Rico. 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 determine lung volumes using sensors (HCPCS code 94726) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.72, but hospitals typically charge $111.91 — a 3.3x 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 $33.72, your out-of-pocket cost would be approximately $6.74. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $25.84 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $49 | $61 | 28 | 295 | +45.6% |
| New York | $49 | $193 | 762 | 41,639 | +45.2% |
| New Jersey | $47 | $144 | 297 | 12,739 | +40.5% |
| District of Columbia | $46 | $156 | 39 | 1,474 | +37.8% |
| Maryland | $45 | $131 | 207 | 10,183 | +34.1% |
| Arizona | $43 | $109 | 240 | 19,079 | +28.4% |
| Florida | $43 | $116 | 721 | 51,128 | +27.4% |
| Georgia | $43 | $149 | 419 | 17,696 | +26.5% |
| California | $41 | $110 | 837 | 50,425 | +22.7% |
| Nevada | $39 | $122 | 85 | 5,093 | +16.3% |
| Texas | $39 | $118 | 822 | 48,664 | +15.5% |
| North Carolina | $39 | $121 | 465 | 22,494 | +15.2% |
| Alabama | $38 | $92 | 145 | 6,912 | +11.6% |
| South Carolina | $35 | $105 | 244 | 12,704 | +4.7% |
| Minnesota | $35 | $185 | 213 | 10,954 | +4.3% |
| Virginia | $35 | $101 | 359 | 20,526 | +3.6% |
| New Mexico | $34 | $107 | 57 | 3,292 | +0.4% |
| Washington | $33 | $109 | 315 | 12,620 | -0.9% |
| Rhode Island | $33 | $115 | 43 | 2,511 | -1.3% |
| Delaware | $33 | $123 | 26 | 4,864 | -2.0% |
| Mississippi | $33 | $115 | 124 | 8,447 | -2.1% |
| Kansas | $32 | $138 | 140 | 8,813 | -6.3% |
| Tennessee | $31 | $86 | 277 | 12,044 | -6.8% |
| Nebraska | $31 | $69 | 126 | 6,389 | -9.0% |
| Connecticut | $30 | $138 | 155 | 3,841 | -10.4% |
| Illinois | $28 | $124 | 510 | 31,908 | -17.2% |
| Michigan | $27 | $69 | 532 | 18,624 | -20.0% |
| Kentucky | $26 | $75 | 265 | 11,469 | -21.6% |
| Colorado | $26 | $102 | 231 | 7,982 | -22.4% |
| Utah | $26 | $71 | 62 | 1,915 | -23.3% |
| Maine | $25 | $174 | 61 | 2,124 | -25.7% |
| Hawaii | $25 | $55 | 36 | 725 | -26.1% |
| West Virginia | $25 | $64 | 96 | 4,116 | -27.0% |
| Alaska | $24 | $113 | 29 | 1,268 | -28.4% |
| Oregon | $23 | $87 | 157 | 5,842 | -32.0% |
| Louisiana | $23 | $103 | 123 | 5,851 | -32.7% |
| Missouri | $23 | $80 | 322 | 17,777 | -32.9% |
| Pennsylvania | $22 | $76 | 604 | 26,722 | -36.2% |
| Oklahoma | $21 | $59 | 149 | 6,205 | -37.6% |
| Wisconsin | $21 | $225 | 233 | 10,402 | -37.8% |
| Massachusetts | $21 | $74 | 295 | 13,149 | -38.1% |
| Arkansas | $21 | $73 | 79 | 6,535 | -38.5% |
| Wyoming | $21 | $79 | 11 | 335 | -38.8% |
| Vermont | $20 | $67 | 31 | 1,112 | -39.4% |
| Montana | $20 | $69 | 40 | 2,251 | -41.2% |
| Ohio | $20 | $62 | 620 | 21,604 | -41.9% |
| Indiana | $19 | $63 | 298 | 13,623 | -43.0% |
| Iowa | $17 | $70 | 121 | 5,977 | -50.1% |
| South Dakota | $15 | $42 | 46 | 2,214 | -55.1% |
| New Hampshire | $15 | $90 | 70 | 3,604 | -56.0% |
| North Dakota | $14 | $64 | 37 | 1,847 | -58.5% |
| Idaho | $13 | $62 | 75 | 3,991 | -60.1% |
⚠️ 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