Pulmonary rehabilitation Cost — Compare Hospital Prices

Pulmonary rehabilitation is a therapy or rehabilitation service. Prices are from 1636 US hospitals across 50 states, from their machine-readable files.

$152median cash price · 1636 hospitals, 50 statestypically $62–$387 depending on the hospital

≈ 1.7× Medicare · Reasonable vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$263

Cash / self-pay

$152

Insurer-negotiated

$95

Medicare pays

$87

$62$387

Median cash $152 · Medicare $87 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $152 — about 1.7× the Medicare rate ($87). Reasonable. A fair cash price is usually within ~2× Medicare ($174).

💡 Asking for the cash price instead of the $263 list price could save about $111 (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

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
Baptist Memorial Hospital Union City	Union City, TN	$26	$96	★ 4/5	139 min	—
New Orleans East Hospital	New Orleans, LA	$27	$0	—	140 min	—
Nocona General Hospital	Nocona, TX	$28	$222	★ 1/5	108 min	—
Robert Wood Johnson University Hospital	New Brunswick, NJ	$29	$84	★ 2/5	206 min	—
Robert Wood Johnson University Hospital at Hamilton	Hamilton, NJ	$29	$84	★ 4/5	172 min	—
Hills & Dales General Hospital	Cass City, MI	$29	$113	★ 4/5	91 min	—
Little Falls Hospital	Little Falls, NY	$30	$33	★ 2/5	109 min	—
Cobleskill Regional Hospital	Cobleskill, NY	$30	$38	★ 4/5	111 min	—
Cooperman Barnabas Medical Center	Livingston, NJ	$31	$80	★ 3/5	129 min	—
Huntsville Memorial Hospital	Huntsville, TX	$32	$71	★ 2/5	194 min	—
Hancock County Hospital	Sneedville, TN	$34	$104	—	104 min	—
Dickenson Community Hospital	Clintwood, VA	$34	$55	—	109 min	—
Lee County Community Hospital	Pennington Gap, VA	$34	$63	—	109 min	—
Christus St Frances Cabrini Hospital	Alexandria, LA	$34	$64	★ 3/5	215 min	—
Gifford Medical Center	Randolph, VT	$34	$54	★ 5/5	—	—
Trinitas Regional Medical Center	Elizabeth, NJ	$34	$100	★ 3/5	209 min	—
Community Medical Center	Toms River, NJ	$34	$100	★ 1/5	180 min	—
Johnson Memorial Hospital	Franklin, IN	$36	$58	★ 5/5	139 min	—
Wellmont Bristol Regional Medical Center	Bristol, TN	$36	$59	★ 2/5	196 min	—
Wellmont Holston Valley Medical Center	Kingsport, TN	$36	$59	★ 2/5	204 min	—
Sycamore Shoals Hospital	Elizabethton, TN	$36	$56	★ 2/5	142 min	—
Hawkins County Memorial Hospital	Rogersville, TN	$36	$56	—	113 min	—
Greeneville Community Hospital	Greeneville, TN	$36	$60	★ 2/5	154 min	—
Johnson City Medical Center	Johnson City, TN	$36	$58	★ 1/5	211 min	—
Indian Path Community Hospital	Kingsport, TN	$36	$57	—	136 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 Pulmonary rehabilitation

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: $152; Medicare pays $87.

Insurer	Hospitals	Negotiated median
Univera	13	$15 $4 – $23
Medicaid	187	$51 $4 – $210
Amerigroup	112	$58 $17 – $168
Molina Healthcare	377	$58 $14 – $128
Devoted Health	140	$58 $54 – $72
Highmark	93	$61 $23 – $194
Humana	673	$62 $37 – $239
Medicare	375	$62 $54 – $99
Centene / Ambetter	553	$63 $22 – $135
Tricare / VA	247	$66 $54 – $208
AmeriHealth	154	$66 $25 – $215
UPMC Health Plan	67	$70 $56 – $213
Geisinger	34	$73 $53 – $263
Bright Health	22	$83 $77 – $112
Anthem	399	$84 $5 – $258
Priority Health	34	$86 $31 – $170
EmblemHealth	58	$88 $4 – $465
UCare	56	$89 $45 – $190
UnitedHealthcare	976	$94 $35 – $336
Oscar Health	147	$94 $34 – $164
Independent Health	19	$94 $48 – $115
Blue Cross Blue Shield	828	$97 $33 – $246
Aetna	903	$98 $45 – $282
Kaiser Permanente	130	$103 $54 – $729
Sanford Health Plan	46	$105 $45 – $235
HealthPartners	167	$109 $46 – $263
AvMed	27	$110 $57 – $237
SelectHealth	35	$113 $55 – $189
MVP Health Care	59	$121 $27 – $308
Healthcare Highways	20	$124 $80 – $390
Cigna	703	$124 $57 – $318
Security Health Plan	47	$132 $58 – $251
Harvard Pilgrim	31	$138 $52 – $271
Health Net	158	$143 $63 – $376
Medica	160	$143 $48 – $353
Coventry	95	$152 $60 – $326
MultiPlan / PHCS network	567	$180 $84 – $387
Workers' Comp / No-Fault	71	$286 $117 – $451

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

State	Median cash
Tennessee	$39
Mississippi	$42
Arizona	$75
New Mexico	$77
Utah	$80
Louisiana	$81

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Clinician	Specialty	Location	Medicare services
Naveed Shah, MD	Internal Medicine	Westminster, MD	15,334
Julie Rothschild, M.D.	Emergency Medicine	Chicago, IL	2,145
Katan Patel, D.O.	Emergency Medicine	College Station, TX	2,043
Vijay Vanam, M.D	Pulmonary Disease	Rancho Mirage, CA	936
Barry Ramo, MD	Clinical Cardiac Electrophysiology	Albuquerque, NM	726
Ziad Mattar, MD	Pulmonary Disease	Orlando, FL	717
Lawrence Davanzo, D.O.	Pulmonary Disease	Somerset, NJ	563
Uzodinma Dim, M.D.	Cardiology	El Paso, TX	474
Jadvinder Goraya, MD	Pulmonary Disease	Round Rock, TX	374
Christopher Mallavarapu, MD	Cardiology	Olean, NY	318
Eric Harker, MD	Internal Medicine	Lyons, CO	256
Puneet Sethi, MD	Sleep Medicine	Munster, IN	229

Browse doctors by specialty & city →

Does Medicare cover Pulmonary rehabilitation?

Yes — Medicare generally covers Pulmonary rehabilitation. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $87. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $17 — 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 1636 US hospitals across 50 states, the typical (median) cash price is $152, versus a chargemaster (list) price around $263, a median insurer-negotiated rate of $95, a Medicare rate of about $87. Most cash prices fall between $62 and $387 — 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 Pulmonary rehabilitation cost without insurance?

The median cash (self-pay) price across 1636 US hospitals is $152. Most hospitals fall between $62 and $387. Prices vary widely between hospitals, so it pays to compare before you book.

Does Medicare cover Pulmonary rehabilitation?

Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $87). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.

What does Medicare pay for Pulmonary rehabilitation?

Medicare pays about $87. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.

Why do Pulmonary rehabilitation 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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