CPT 94618 Pulmonary
Pulmonary stress testing Cost
Body System: Respiratory
Medicare Facility Rate
$37
CMS PFS CY2026
Medicare Non-Facility Rate
$37
Office/clinic setting
Hospital Outpatient
$136
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.47
Work RVU
0.61
Facility PE RVU
0.03
Malpractice RVU
1.11
Total RVU
Frequently Asked Questions
How much does Pulmonary stress testing cost?
The Medicare facility rate is $37. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $136.
How much does Pulmonary stress testing 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 $37.