Cost analysis for CPT 94729 — Test to examine how well the lungs exchange gases
Average Medicare Payment
$23.21
2023 data
Total Payments (2023)
$25.9M
Services (2023)
951.8K
Price Change (2014–2023)
-0.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $23.28 | $26.2M | 974.7K | — |
| 2015 | $23.34 | $27.4M | 1.0M | +0.3% |
| 2016 | $22.73 | $28.0M | 1.1M | -2.6% |
| 2017 | $22.88 | $28.1M | 1.1M | +0.7% |
| 2018 | $23.23 | $28.6M | 1.1M | +1.5% |
| 2019 | $23.67 | $30.1M | 1.1M | +1.9% |
| 2020 | $24.07 | $21.5M | 774.8K | +1.7% |
| 2021 | $25.17 | $26.4M | 905.4K | +4.6% |
| 2022 | $24.52 | $25.9M | 909.3K | -2.6% |
| 2023 | $23.21 | $25.9M | 951.8K | -5.3% |
The most expensive state pays 6.3x more than the cheapest for this procedure. PR averages $41.29 vs GU at $6.53.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| PR | $41.29 | $75.4K | 1.8K | 40 |
| NY | $40.72 | $3.3M | 79.9K | 676 |
| NJ | $37.24 | $1.2M | 33.1K | 331 |
| MD | $35.43 | $912.9K | 25.8K | 168 |
| FL | $34.89 | $3.0M | 85.9K | 669 |
| NV | $34.16 | $268.8K | 7.9K | 56 |
| AZ | $33.30 | $765.3K | 23.0K | 152 |
| GA | $33.29 | $1.0M | 30.1K | 311 |
| CA | $33.25 | $2.4M | 71.2K | 645 |
| DC | $30.78 | $69.0K | 2.2K | 35 |
| VA | $30.37 | $900.9K | 29.7K | 247 |
| MN | $29.97 | $468.8K | 15.6K | 128 |
| TX | $29.33 | $1.8M | 62.3K | 567 |
| NC | $28.87 | $959.2K | 33.2K | 283 |
| AL | $28.64 | $492.5K | 17.2K | 145 |
| CT | $27.87 | $310.8K | 11.2K | 155 |
| MS | $26.18 | $303.3K | 11.6K | 82 |
| TN | $26.09 | $605.5K | 23.2K | 229 |
| DE | $26.01 | $120.2K | 4.6K | 13 |
| SC | $25.82 | $476.7K | 18.5K | 154 |
| WA | $25.18 | $421.2K | 16.7K | 186 |
| RI | $23.58 | $95.0K | 4.0K | 37 |
| NM | $23.44 | $88.8K | 3.8K | 37 |
| KS | $23.04 | $224.5K | 9.7K | 80 |
| NE | $22.82 | $160.3K | 7.0K | 60 |
| CO | $21.51 | $258.2K | 12.0K | 150 |
| IL | $21.04 | $718.6K | 34.2K | 330 |
| KY | $20.66 | $280.6K | 13.6K | 172 |
| MI | $20.32 | $585.9K | 28.8K | 328 |
| AR | $19.08 | $170.5K | 8.9K | 65 |
| WV | $18.86 | $102.7K | 5.4K | 68 |
| PA | $18.63 | $747.3K | 40.1K | 451 |
| OR | $18.36 | $141.3K | 7.7K | 97 |
| ME | $17.09 | $41.4K | 2.4K | 38 |
| IN | $16.96 | $347.4K | 20.5K | 212 |
| AK | $16.92 | $23.0K | 1.4K | 22 |
| HI | $16.32 | $13.6K | 836 | 19 |
| MO | $16.04 | $321.9K | 20.1K | 206 |
| OK | $15.60 | $142.2K | 9.1K | 89 |
| WI | $15.12 | $208.2K | 13.8K | 148 |
| LA | $14.98 | $137.2K | 9.2K | 107 |
| UT | $14.92 | $72.4K | 4.9K | 48 |
| MA | $14.44 | $374.4K | 25.9K | 251 |
| MT | $14.42 | $41.0K | 2.8K | 28 |
| IA | $14.02 | $143.1K | 10.2K | 79 |
| OH | $13.70 | $438.7K | 32.0K | 366 |
| WY | $10.31 | $6.0K | 584 | 4 |
| SD | $9.47 | $29.2K | 3.1K | 23 |
| VT | $9.16 | $13.9K | 1.5K | 21 |
| NH | $8.28 | $46.7K | 5.6K | 55 |
| ND | $8.15 | $25.5K | 3.1K | 20 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Jason Karp | Pulmonary Disease | NY | $113.8K | 2.1K | $53.45 |
| David Jawahar | Pulmonary Disease | DE | $66.3K | 1.6K | $42.11 |
| Carlos Silva | Pulmonary Disease | VA | $58.3K | 1.4K | $42.48 |
| Arthur Trust | Pulmonary Disease | NY | $55.5K | 1.0K | $52.86 |
| Rafael Lupercio | Pulmonary Disease | CA | $52.4K | 1.2K | $44.67 |
| Yuval Hiltzik | Pulmonary Disease | NY | $51.7K | 942 | $54.84 |
| Steven Orshan | Pulmonary Disease | NY | $51.3K | 970 | $52.87 |
| Keith Harris | Pulmonary Disease | NY | $51.1K | 957 | $53.44 |
| Barry Weinberg | Pulmonary Disease | NY | $50.8K | 956 | $53.19 |
| Vijay Rupanagudi | Internal Medicine | TN | $43.5K | 1.2K | $37.59 |
| Vikas Sayal | Pulmonary Disease | AZ | $41.7K | 961 | $43.44 |
| Theodossis Zacharis | Pulmonary Disease | FL | $41.6K | 989 | $42.08 |
| Abraham Sanders | Pulmonary Disease | NY | $40.4K | 1.0K | $39.37 |
| John Saito | Pulmonary Disease | CA | $38.9K | 757 | $51.38 |
| Olusegun Oseni | Pulmonary Disease | TX | $37.2K | 900 | $41.28 |
| Sergio Balingit | Pulmonary Disease | FL | $37.0K | 875 | $42.24 |
| David Kamelhar | Pulmonary Disease | NY | $35.4K | 671 | $52.79 |
| Abraham Ishaaya | Pulmonary Disease | CA | $35.1K | 681 | $51.54 |
| Jeffrey Sager | Pulmonary Disease | CA | $34.8K | 711 | $49.01 |
| Mario Solomita | Pulmonary Disease | NY | $34.8K | 647 | $53.82 |
The data suggests significant pricing inconsistencies for CPT 94729. With a 6.3x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.