CPT 94011 Pulmonary
Spirometry up to 2 yrs old Cost
Body System: Respiratory
Medicare Facility Rate
$72
CMS PFS CY2026
Medicare Non-Facility Rate
$72
Office/clinic setting
Hospital Outpatient
$131
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.71
Work RVU
0.35
Facility PE RVU
0.09
Malpractice RVU
2.15
Total RVU
Frequently Asked Questions
How much does Spirometry up to 2 yrs old cost?
The Medicare facility rate is $72. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $131.
How much does Spirometry up to 2 yrs old 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 $72.