Price Checker / CPT 94625
How much does Phy/qhp Op Pulm Rhb Without Mntr cost?
CPT 94625 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 3x the fair price. You have grounds to ask for a reduction.
Fair price
$180–$210
What this should cost
With insurance
~$270
Typical out-of-pocket
Overcharged if over
$260
Push back above this
The average hospital charge of $609 is $409 over the fair price (about 3x the fair rate).
What hospitals charge for Phy/qhp Op Pulm Rhb Without Mntr
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Hoke Hospital , NC | $147 | — | 2068% |
| UM Shore Medical Center at Cambridge , MD | $1,071 | — | 1129% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Phy/qhp Op Pulm Rhb Without Mntr
CPT code 94625 refers to phy/qhp op pulm rhb without mntr (billing description: "Phy/qhp op pulm rhb w/o mntr"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $16 in a facility (hospital or surgery center) and $87 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.