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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 94729
  4. Cost Analysis

How Much Does Test to examine how well the lungs exchange gases Cost on Medicare?

Cost analysis for CPT 94729 — Test to examine how well the lungs exchange gases

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Average Medicare Payment

$23.21

2023 data

Total Payments (2023)

$25.9M

Services (2023)

951.8K

Price Change (2014–2023)

-0.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$23.28$26.2M974.7K—
2015$23.34$27.4M1.0M+0.3%
2016$22.73$28.0M1.1M-2.6%
2017$22.88$28.1M1.1M+0.7%
2018$23.23$28.6M1.1M+1.5%
2019$23.67$30.1M1.1M+1.9%
2020$24.07$21.5M774.8K+1.7%
2021$25.17$26.4M905.4K+4.6%
2022$24.52$25.9M909.3K-2.6%
2023$23.21$25.9M951.8K-5.3%

🗺️ State-by-State Cost Variation

The most expensive state pays 6.3x more than the cheapest for this procedure. PR averages $41.29 vs GU at $6.53.

StateAvg PaymentTotal PaymentsServicesProviders
PR$41.29$75.4K1.8K40
NY$40.72$3.3M79.9K676
NJ$37.24$1.2M33.1K331
MD$35.43$912.9K25.8K168
FL$34.89$3.0M85.9K669
NV$34.16$268.8K7.9K56
AZ$33.30$765.3K23.0K152
GA$33.29$1.0M30.1K311
CA$33.25$2.4M71.2K645
DC$30.78$69.0K2.2K35
VA$30.37$900.9K29.7K247
MN$29.97$468.8K15.6K128
TX$29.33$1.8M62.3K567
NC$28.87$959.2K33.2K283
AL$28.64$492.5K17.2K145
CT$27.87$310.8K11.2K155
MS$26.18$303.3K11.6K82
TN$26.09$605.5K23.2K229
DE$26.01$120.2K4.6K13
SC$25.82$476.7K18.5K154
WA$25.18$421.2K16.7K186
RI$23.58$95.0K4.0K37
NM$23.44$88.8K3.8K37
KS$23.04$224.5K9.7K80
NE$22.82$160.3K7.0K60
CO$21.51$258.2K12.0K150
IL$21.04$718.6K34.2K330
KY$20.66$280.6K13.6K172
MI$20.32$585.9K28.8K328
AR$19.08$170.5K8.9K65
WV$18.86$102.7K5.4K68
PA$18.63$747.3K40.1K451
OR$18.36$141.3K7.7K97
ME$17.09$41.4K2.4K38
IN$16.96$347.4K20.5K212
AK$16.92$23.0K1.4K22
HI$16.32$13.6K83619
MO$16.04$321.9K20.1K206
OK$15.60$142.2K9.1K89
WI$15.12$208.2K13.8K148
LA$14.98$137.2K9.2K107
UT$14.92$72.4K4.9K48
MA$14.44$374.4K25.9K251
MT$14.42$41.0K2.8K28
IA$14.02$143.1K10.2K79
OH$13.70$438.7K32.0K366
WY$10.31$6.0K5844
SD$9.47$29.2K3.1K23
VT$9.16$13.9K1.5K21
NH$8.28$46.7K5.6K55
ND$8.15$25.5K3.1K20

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Jason KarpPulmonary DiseaseNY$113.8K2.1K$53.45
David JawaharPulmonary DiseaseDE$66.3K1.6K$42.11
Carlos SilvaPulmonary DiseaseVA$58.3K1.4K$42.48
Arthur TrustPulmonary DiseaseNY$55.5K1.0K$52.86
Rafael LupercioPulmonary DiseaseCA$52.4K1.2K$44.67
Yuval HiltzikPulmonary DiseaseNY$51.7K942$54.84
Steven OrshanPulmonary DiseaseNY$51.3K970$52.87
Keith HarrisPulmonary DiseaseNY$51.1K957$53.44
Barry WeinbergPulmonary DiseaseNY$50.8K956$53.19
Vijay RupanagudiInternal MedicineTN$43.5K1.2K$37.59
Vikas SayalPulmonary DiseaseAZ$41.7K961$43.44
Theodossis ZacharisPulmonary DiseaseFL$41.6K989$42.08
Abraham SandersPulmonary DiseaseNY$40.4K1.0K$39.37
John SaitoPulmonary DiseaseCA$38.9K757$51.38
Olusegun OseniPulmonary DiseaseTX$37.2K900$41.28
Sergio BalingitPulmonary DiseaseFL$37.0K875$42.24
David KamelharPulmonary DiseaseNY$35.4K671$52.79
Abraham IshaayaPulmonary DiseaseCA$35.1K681$51.54
Jeffrey SagerPulmonary DiseaseCA$34.8K711$49.01
Mario SolomitaPulmonary DiseaseNY$34.8K647$53.82

🤔 Is Test to examine how well the lungs exchange gases Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.