Lung function test (PFT) Cost by Hospital

Lung function test (PFT) is a hospital service. Prices are from 2263 US hospitals across 52 states, from their machine-readable files.

$341median cash price · 2263 hospitals, 52 statestypically $119–$856 depending on the hospital
≈ 9.3× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$584
Cash / self-pay
$341
Insurer-negotiated
$280
Medicare pays
$37
$119$856
Median cash $341  ·  Medicare $37  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $341 — about 9.3× the Medicare rate ($37). High vs Medicare. A fair cash price is usually within ~2× Medicare ($73).

💡 Asking for the cash price instead of the $584 list price could save about $243 (42%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Unity Hospital Rochester, NY $51 $15 ★ 2/5 294 min 15.3%
Unity Specialty Hospital Rochester, NY $51 $15 — — —
Aspire Hospital Conroe, TX $52 $248 — — —
University of Texas Medical Branch Galveston Galveston, TX $53 $100 ★ 3/5 191 min 16.0%
Weeks Medical Center Lancaster, NH $53 $69 — 106 min 14.6%
Hills & Dales General Hospital Cass City, MI $55 $178 ★ 4/5 94 min 14.7%
Maimonides Medical Center Brooklyn, NY $55 — ★ 2/5 206 min 17.2%
South County Hospital Inc Wakefield, RI $55 $186 ★ 4/5 204 min 14.6%
St Gabriels Hospital Little Falls, MN $56 $82 ★ 4/5 139 min 14.7%
Parkwest Medical Center Knoxville, TN $56 $257 ★ 3/5 259 min 14.9%
Muenster Memorial Hospital Muenster, TX $57 $38 — 103 min —
CHI St Alexius Health Williston Williston, ND $57 $79 ★ 3/5 157 min 15.6%
Seton Medical Center Harker Heights Harker Heights, TX $57 $227 ★ 4/5 174 min 16.3%
York Hospital York, ME $58 — ★ 4/5 172 min 14.8%
San Juan Hospital Monticello, UT $60 $40 — 122 min 14.9%
McLaren Macomb Mount Clemens, MI $60 $153 ★ 1/5 168 min 15.2%
Slidell Memorial Hospital Slidell, LA $62 $154 ★ 2/5 203 min 16.0%
University of Illinois Hospital and Clinics Chicago, IL $62 $36 ★ 4/5 319 min 15.9%
Western Missouri Medical Center Warrensburg, MO $63 — ★ 4/5 147 min 14.6%
Crosbyton Clinic Hospital Crosbyton, TX $63 $44 — — —
Twin City Medical Center Dennison, OH $63 $99 — — 15.0%
O'connor Hospital Delhi, NY $64 $123 — 88 min 14.7%
Little Falls Hospital Little Falls, NY $64 $76 ★ 2/5 110 min 15.7%
White Mountain Regional Medical Center Springerville, AZ $64 $80 — 132 min 14.9%
Chan Soon-Shiong Medical Center at Windber Windber, PA $64 $40 ★ 2/5 133 min 15.5%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Lung function test (PFT)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $341; Medicare pays $37.

InsurerHospitalsNegotiated median
Medicaid 352
$21
$6 – $127
Univera 16
$23
$8 – $41
Geisinger 66
$30
$11 – $701
Medicare 566
$35
$8 – $320
Independent Health 36
$35
$9 – $464
Highmark 127
$36
$10 – $391
MVP Health Care 86
$60
$11 – $503
Anthem 553
$70
$11 – $528
Workers' Comp / No-Fault 148
$76
$46 – $676
AmeriHealth 235
$80
$10 – $417
Amerigroup 155
$82
$11 – $380
Molina Healthcare 542
$88
$10 – $396
Centene / Ambetter 795
$102
$10 – $412
Blue Cross Blue Shield 1255
$118
$13 – $528
Tricare / VA 415
$125
$9 – $410
Priority Health 61
$137
$11 – $454
UPMC Health Plan 104
$153
$18 – $751
UCare 77
$158
$20 – $463
Harvard Pilgrim 52
$160
$22 – $614
HealthPartners 260
$185
$21 – $561
SelectHealth 46
$194
$21 – $600
Humana 1056
$198
$19 – $491
Medica 232
$200
$37 – $489
Sanford Health Plan 68
$201
$32 – $517
UnitedHealthcare 1480
$204
$18 – $694
Devoted Health 172
$212
$37 – $371
Aetna 1385
$233
$25 – $714
Security Health Plan 61
$238
$28 – $492
Kaiser Permanente 214
$242
$17 – $822
Oscar Health 220
$251
$25 – $551
Cigna 1116
$294
$30 – $760
Health Net 320
$304
$21 – $964
Bright Health 57
$309
$99 – $645
Healthcare Highways 46
$316
$61 – $742
AvMed 62
$325
$46 – $930
EmblemHealth 63
$350
$25 – $1,703
Coventry 158
$362
$40 – $810
MultiPlan / PHCS network 892
$413
$59 – $996

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$94
Mississippi$140
North Dakota$147
Tennessee$151
Arkansas$160
Arizona$191

Prices by city

Chicago, ILPhiladelphia, PABaltimore, MDAustin, TXHouston, TXDallas, TXNew York, NYBrooklyn, NYKansas City, MOSacramento, CABronx, NYCharlotte, NCCleveland, OHFort Worth, TXLos Angeles, CANashville, TNSaint Louis, MOBirmingham, ALBoston, MACincinnati, OHLittle Rock, ARMiami, FLMilwaukee, WIOklahoma City, OK

Prices by state

CaliforniaTexasOhioIllinoisWisconsinNew YorkPennsylvaniaFloridaNorth CarolinaMinnesotaGeorgiaMichiganLouisianaTennesseeMissouriIowaColoradoNebraskaKentuckyOklahomaArkansasIndianaKansasVirginiaMarylandWashingtonNew JerseyArizonaMassachusettsSouth DakotaMississippiWest VirginiaAlabamaMaineSouth CarolinaOregonIdahoMontanaConnecticutNorth DakotaUtahNew HampshireNevadaNew MexicoPuerto RicoWyomingHawaiiVermontDelawareRhode IslandAlaskaWashington DC

Does Medicare cover Lung function test (PFT)?

Yes — Medicare generally covers Lung function test (PFT). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $37. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $7 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2263 US hospitals across 52 states, the typical (median) cash price is $341, versus a chargemaster (list) price around $584, a median insurer-negotiated rate of $280, a Medicare rate of about $37. Most cash prices fall between $119 and $856 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Lung function test (PFT) cost without insurance?
The median cash (self-pay) price across 2263 US hospitals is $341. Most hospitals fall between $119 and $856. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Lung function test (PFT)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $37). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Lung function test (PFT)?
Medicare pays about $37. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Lung function test (PFT) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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