Test to measure the level of nitric oxide gas
Medicare pricing data for 2,830 providers across 44 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
Test to measure the level of nitric oxide gas (HCPCS code 95012) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.28, but hospitals typically charge $60.31 — a 3.1x 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 $19.28, your out-of-pocket cost would be approximately $3.86. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $14.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $22 | $79 | 223 | 11,674 | +15.9% |
| District of Columbia | $22 | $42 | 7 | 370 | +15.7% |
| New York | $22 | $87 | 191 | 12,103 | +15.3% |
| New Jersey | $22 | $59 | 110 | 5,062 | +11.9% |
| Maryland | $20 | $39 | 59 | 1,746 | +6.1% |
| Connecticut | $20 | $61 | 70 | 3,701 | +5.8% |
| Massachusetts | $20 | $66 | 37 | 470 | +3.3% |
| Virginia | $20 | $36 | 72 | 3,031 | +3.3% |
| Washington | $20 | $47 | 74 | 1,270 | +2.0% |
| Pennsylvania | $20 | $56 | 117 | 3,552 | +1.8% |
| Alaska | $19 | $83 | 8 | 104 | +0.9% |
| Colorado | $19 | $38 | 41 | 948 | -0.2% |
| Rhode Island | $19 | $34 | 4 | 83 | -0.4% |
| Illinois | $19 | $56 | 68 | 3,212 | -1.6% |
| South Dakota | $19 | $64 | 4 | 32 | -1.9% |
| Minnesota | $19 | $82 | 140 | 3,586 | -3.1% |
| Maine | $18 | $36 | 6 | 178 | -4.4% |
| Michigan | $18 | $33 | 47 | 875 | -6.3% |
| Texas | $18 | $43 | 119 | 4,928 | -6.5% |
| Florida | $18 | $46 | 241 | 8,764 | -6.6% |
| Montana | $18 | $41 | 12 | 347 | -7.7% |
| Arizona | $18 | $69 | 67 | 3,457 | -7.7% |
| Georgia | $17 | $64 | 203 | 5,905 | -9.5% |
| Kansas | $17 | $46 | 10 | 385 | -9.9% |
| Oregon | $17 | $63 | 51 | 576 | -10.3% |
| Wisconsin | $17 | $101 | 63 | 922 | -10.7% |
| North Carolina | $17 | $41 | 135 | 2,496 | -12.7% |
| Nebraska | $17 | $50 | 34 | 415 | -13.0% |
| Indiana | $17 | $49 | 85 | 1,656 | -13.4% |
| Louisiana | $17 | $42 | 18 | 316 | -13.4% |
| New Mexico | $17 | $43 | 20 | 568 | -13.5% |
| South Carolina | $17 | $44 | 72 | 1,992 | -14.0% |
| Utah | $17 | $38 | 31 | 385 | -14.0% |
| Ohio | $16 | $44 | 126 | 2,509 | -14.5% |
| North Dakota | $16 | $75 | 4 | 72 | -14.6% |
| West Virginia | $16 | $49 | 4 | 365 | -15.6% |
| Idaho | $16 | $53 | 10 | 231 | -16.8% |
| Alabama | $16 | $32 | 38 | 602 | -17.2% |
| Mississippi | $16 | $37 | 3 | 16 | -17.3% |
| Kentucky | $16 | $48 | 76 | 2,012 | -17.8% |
| Tennessee | $16 | $41 | 60 | 1,705 | -18.1% |
| Missouri | $16 | $57 | 39 | 1,407 | -18.4% |
| Oklahoma | $16 | $34 | 20 | 732 | -19.5% |
| Iowa | $15 | $57 | 5 | 141 | -20.4% |
⚠️ 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