CPT 94010 Diagnostic
Spirometry / pulmonary function test Cost
Body System: Respiratory
Medicare Facility Rate
$10
CMS PFS CY2026
Medicare Non-Facility Rate
$32
Office/clinic setting
Hospital Outpatient
$221
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.17
Work RVU
0.14
Facility PE RVU
0.01
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| US — Carrier 01112 Locality 05 | $30 | $45 — $75 |
| US — Carrier 01112 Locality 09 | $31 | $46 — $77 |
| US — Carrier 01112 Locality 51 | $28 | $42 — $70 |
| US — Carrier 01112 Locality 52 | $30 | $45 — $75 |
| US — Carrier 01112 Locality 53 | $28 | $42 — $70 |
| US — Carrier 01112 Locality 54 | $23 | $35 — $58 |
| US — Carrier 01112 Locality 55 | $23 | $35 — $58 |
| US — Carrier 01112 Locality 56 | $23 | $35 — $58 |
| US — Carrier 01112 Locality 57 | $23 | $35 — $58 |
| US — Carrier 01112 Locality 58 | $23 | $35 — $58 |
| US — Carrier 01112 Locality 59 | $23 | $35 — $58 |
| US — Carrier 01112 Locality 60 | $23 | $35 — $58 |
| US — Carrier 01112 Locality 61 | $23 | $35 — $58 |
| US — Carrier 01112 Locality 62 | $23 | $35 — $59 |
| US — Carrier 01112 Locality 63 | $25 | $37 — $62 |
| US — Carrier 01112 Locality 64 | $25 | $37 — $62 |
| US — Carrier 01112 Locality 65 | $31 | $46 — $77 |
| US — Carrier 01112 Locality 66 | $26 | $39 — $65 |
| US — Carrier 01112 Locality 67 | $26 | $39 — $65 |
| US — Carrier 01112 Locality 68 | $23 | $35 — $58 |
Frequently Asked Questions
How much does Spirometry / pulmonary function test cost?
The Medicare facility rate is $10. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $221.
How much does Spirometry / pulmonary function test cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $10.