Lung function test (PFT) Cost by Hospital

Lung function test (PFT) is a hospital service. Prices are from 2284 US hospitals across 52 states, from their machine-readable files.

$341median cash price · 2284 hospitals, 52 statestypically $121–$862 depending on the hospital
≈ 9.3× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$587
Cash / self-pay
$341
Insurer-negotiated
$280
Medicare pays
$37
$121$862
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 $587 list price could save about $246 (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 ★ 2/5 299 min —
Unity Specialty Hospital Rochester, NY $51 $15 — — —
Aspire Hospital Conroe, TX $53 $217 — — —
University of Texas Medical Branch Galveston Galveston, TX $53 $100 ★ 3/5 190 min —
Weeks Medical Center Lancaster, NH $53 $69 — 107 min —
Hills & Dales General Hospital Cass City, MI $55 $178 ★ 4/5 91 min —
Maimonides Medical Center Brooklyn, NY $55 — ★ 2/5 208 min —
South County Hospital Inc Wakefield, RI $55 $186 ★ 4/5 197 min —
St Gabriels Hospital Little Falls, MN $56 $82 ★ 4/5 141 min —
Parkwest Medical Center Knoxville, TN $56 $257 ★ 3/5 259 min —
Muenster Memorial Hospital Muenster, TX $57 $38 — 108 min —
CHI St Alexius Health Williston Williston, ND $57 $79 ★ 3/5 156 min —
Seton Medical Center Harker Heights Harker Heights, TX $57 $227 ★ 4/5 174 min —
York Hospital York, ME $58 — ★ 4/5 166 min —
San Juan Hospital Monticello, UT $60 $40 — 128 min —
McLaren Macomb Mount Clemens, MI $60 $153 ★ 1/5 172 min —
Slidell Memorial Hospital Slidell, LA $62 $154 ★ 2/5 203 min —
University of Illinois Hospital and Clinics Chicago, IL $62 $36 ★ 4/5 298 min —
Western Missouri Medical Center Warrensburg, MO $63 — ★ 4/5 140 min —
Crosbyton Clinic Hospital Crosbyton, TX $63 $49 — — —
Twin City Medical Center Dennison, OH $63 $99 — — —
O'connor Hospital Delhi, NY $64 $123 — 95 min —
Little Falls Hospital Little Falls, NY $64 $76 ★ 2/5 109 min —
White Mountain Regional Medical Center Springerville, AZ $64 $80 — 134 min —
Chan Soon-Shiong Medical Center at Windber Windber, PA $64 $40 ★ 2/5 141 min —

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 October 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 356
$21
$6 – $127
Univera 16
$23
$8 – $41
Medicare 572
$35
$8 – $324
Independent Health 36
$35
$9 – $464
Highmark 133
$36
$10 – $395
Geisinger 68
$39
$11 – $704
MVP Health Care 87
$61
$11 – $503
Anthem 570
$74
$12 – $556
Workers' Comp / No-Fault 149
$76
$46 – $673
AmeriHealth 239
$80
$10 – $417
Amerigroup 156
$85
$11 – $381
Molina Healthcare 546
$88
$10 – $397
Centene / Ambetter 813
$104
$10 – $425
Blue Cross Blue Shield 1264
$119
$13 – $536
Tricare / VA 420
$125
$9 – $414
Priority Health 60
$133
$11 – $454
UPMC Health Plan 109
$152
$17 – $738
Harvard Pilgrim 52
$158
$22 – $615
UCare 78
$158
$20 – $463
HealthPartners 263
$185
$21 – $561
SelectHealth 46
$194
$21 – $600
Humana 1069
$196
$18 – $491
Medica 234
$200
$37 – $489
Sanford Health Plan 70
$201
$34 – $517
UnitedHealthcare 1508
$206
$18 – $691
Devoted Health 177
$213
$36 – $372
Aetna 1411
$231
$23 – $714
Security Health Plan 61
$238
$28 – $492
Kaiser Permanente 215
$241
$17 – $822
Oscar Health 234
$260
$25 – $576
Cigna 1137
$291
$27 – $770
Health Net 321
$307
$21 – $966
Healthcare Highways 46
$316
$61 – $742
Bright Health 57
$320
$99 – $645
AvMed 64
$325
$46 – $930
EmblemHealth 78
$350
$30 – $1,703
Coventry 162
$362
$40 – $810
MultiPlan / PHCS network 907
$413
$58 – $995

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
Tennessee$146
North Dakota$147
Mississippi$151
Arkansas$160
Arizona$191
Rhode Island$193

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

CaliforniaTexasOhioWisconsinNew YorkPennsylvaniaIllinoisFloridaMinnesotaNorth CarolinaGeorgiaLouisianaMichiganTennesseeIowaMissouriColoradoNebraskaKentuckyOklahomaArkansasIndianaKansasVirginiaMarylandWashingtonNew JerseyArizonaMassachusettsMississippiSouth DakotaMaineAlabamaWest VirginiaSouth CarolinaOregonMontanaIdahoConnecticutNew HampshireNorth DakotaUtahNevadaNew 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 2284 US hospitals across 52 states, the typical (median) cash price is $341, versus a chargemaster (list) price around $587, a median insurer-negotiated rate of $280, a Medicare rate of about $37. Most cash prices fall between $121 and $862 — 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 2284 US hospitals is $341. Most hospitals fall between $121 and $862. 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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