CPT 94010 Pulmonary

How Much Does Spirometry / Pulmonary Function Test Cost?

Also known as: Breathing capacity test (CPT 94010)

A pulmonary function test (spirometry) that measures how well your lungs work by measuring airflow.

Spirometry / Pulmonary Function Test (CPT 94010) costs $30 at Medicare rates.

Medicare (Facility)
$30
CMS PFS 2026 national rate

Patient Guide: Spirometry / Pulmonary Function Test

What you need to know before your appointment

What to Expect

You breathe into a mouthpiece connected to a machine. You will be asked to take deep breaths and blow out as hard and fast as you can. The test is repeated several times for accuracy.

How Long Does It Take?

30-45 minutes

Common Reasons Doctors Order This

Asthma diagnosis, COPD evaluation, shortness of breath workup, pre-surgical lung assessment, monitoring lung disease treatment

How to Prepare

Do not smoke for 4-6 hours before. Avoid heavy meals 2 hours before. Do not use your inhaler before the test unless told otherwise. Wear loose, comfortable clothing.

Procedures Commonly Done Together

These procedures are frequently performed alongside Breathing capacity test

Loading related procedures...

How to Reduce Your Cost for Breathing capacity test

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.17
Work RVU
0.70
Practice Expense RVU
0.02
Malpractice RVU
0.89
Total RVU

Payment = Total RVU (0.89) x CF ($33.40) = $30

Frequently Asked Questions

How much does Breathing capacity test cost?

The Medicare facility rate for Breathing capacity test is $30. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Breathing capacity test cost without insurance?

Without insurance, the cost of Breathing capacity test can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Breathing capacity test?

Most commercial health insurance plans and Medicare cover Breathing capacity test when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

Share This Cost Information

My Cost List

0 procedures

No procedures added yet

Click "Add to My List" on any procedure to start building your estimate.