CPT 94681 Pulmonary
O2 uptk co2 outp % o2 xtrc Cost
Body System: Respiratory
Medicare Facility Rate
$50
CMS PFS CY2026
Medicare Non-Facility Rate
$50
Office/clinic setting
Hospital Outpatient
$381
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.20
Work RVU
1.27
Facility PE RVU
0.03
Malpractice RVU
1.50
Total RVU
Frequently Asked Questions
How much does O2 uptk co2 outp % o2 xtrc cost?
The Medicare facility rate is $50. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $381.
How much does O2 uptk co2 outp % o2 xtrc 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 $50.