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Procedure price report · Other respiratory therapy

Inhaled pentamidine treatment for pneumonia prevention

CPT 94642the billing code this page is about

Administration of the drug pentamidine as an inhaled mist to treat or help prevent a specific type of pneumonia.

Hospitals typically charge $268 cash for this outpatient procedure — the median across 1,883 hospitals that filed a usable cash price; the average of the middle 60% is $282. Most fall between $150 and $492 (20th–80th percentile).

Hospitals
1,883
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,883 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$100$168$268$431$751

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($100 vs $751).

How the prices are spread

$65 – $84: 53 hospitals$65$84 – $110: 75 hospitals$110 – $143: 125 hospitals$110$143 – $186: 211 hospitals$186 – $242: 271 hospitals$186$242 – $316: 308 hospitals$316 – $411: 257 hospitals$316$411 – $536: 154 hospitals$536 – $698: 129 hospitals$536$698 – $909: 112 hospitals$698median $268price bands are equal on a log scale
Hospitals per price band (1,695 of 1,883 — the bands cover the 5th to 95th percentile)
FromToHospitals
$65$8453
$84$11075
$110$143125
$143$186211
$186$242271
$242$316308
$316$411257
$411$536154
$536$698129
$698$909112

Against Medicare

Medicare pays (OPPS 2026, national rate)$224
Median cash price$268
Cash as a multiple of Medicare1.20×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $268.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $289 across 10 hospitalsME$289Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $274 across 38 hospitalsWA$274Idaho: median $463 across 12 hospitalsID$463Montana: median $168 across 10 hospitalsMT$168North Dakota: median $317 across 13 hospitalsND$317Minnesota: median $269 across 64 hospitalsMN$269Illinois: median $289 across 64 hospitalsIL$289Wisconsin: median $184 across 83 hospitalsWI$184Michigan: median $301 across 70 hospitalsMI$301New York: median $241 across 58 hospitalsNY$241Massachusetts: median $411 across 25 hospitalsMA$411Oregon: median $293 across 29 hospitalsOR$293Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $351 across 15 hospitalsSD$351Iowa: median $229 across 50 hospitalsIA$229Indiana: median $232 across 54 hospitalsIN$232Ohio: median $386 across 90 hospitalsOH$386Pennsylvania: median $298 across 86 hospitalsPA$298New Jersey: median $236 across 37 hospitalsNJ$236Connecticut: median $386 across 13 hospitalsCT$386Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $409 across 119 hospitalsCA$409Utah: median $268 across 27 hospitalsUT$268Colorado: median $538 across 48 hospitalsCO$538Nebraska: median $190 across 27 hospitalsNE$190Missouri: median $270 across 43 hospitalsMO$270Kentucky: median $349 across 31 hospitalsKY$349West Virginia: median $252 across 17 hospitalsWV$252Virginia: median $210 across 47 hospitalsVA$210Maryland: median $215 across 26 hospitalsMD$215Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $178 across 29 hospitalsAZ$178New Mexico: median $232 across 10 hospitalsNM$232Kansas: median $213 across 31 hospitalsKS$213Arkansas: median $81 across 10 hospitalsAR$81Tennessee: median $113 across 47 hospitalsTN$113North Carolina: median $171 across 45 hospitalsNC$171South Carolina: median $238 across 36 hospitalsSC$238Oklahoma: median $52 across 22 hospitalsOK$52Louisiana: median $140 across 34 hospitalsLA$140Mississippi: median $158 across 33 hospitalsMS$158Alabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $258 across 63 hospitalsGA$258Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $357 across 149 hospitalsTX$357Florida: median $439 across 108 hospitalsFL$439
Cash price by state, most expensive first. National median $268. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO48$538+101%$237 – $1,481
Idaho ID12$463+73%$280 – $463
Florida FL108$439+64%$200 – $743
Massachusetts MA25$411+53%$228 – $635
California CA119$409+53%$241 – $818
Ohio OH90$386+44%$231 – $615
Connecticut CT13$386+44%$331 – $471
Texas TX149$357+33%$157 – $543
South Dakota SD15$351+31%$334 – $433
Kentucky KY31$349+30%$84 – $797
North Dakota ND13$317+18%$170 – $530
Michigan MI70$301+12%$205 – $520
Pennsylvania PA86$298+11%$215 – $464
Oregon OR29$293+9%$208 – $492
Illinois IL64$289+8%$139 – $605
Maine ME10$289+8%$97 – $453
Washington WA38$274+2%$125 – $400
Missouri MO43$270+1%$171 – $356
Minnesota MN64$2690%$158 – $319
Utah UT27$2680%$253 – $268
Georgia GA63$258−4%$170 – $697
West Virginia WV17$252−6%$50 – $318
New York NY58$241−10%$140 – $375
South Carolina SC36$238−11%$238 – $325
New Jersey NJ37$236−12%$108 – $283
Indiana IN54$232−13%$111 – $341
New Mexico NM10$232−13%$131 – $573
Iowa IA50$229−15%$166 – $320
Maryland MD26$215−20%$173 – $272
Kansas KS31$213−20%$124 – $414
Virginia VA47$210−22%$100 – $297
Nebraska NE27$190−29%$144 – $278
Wisconsin WI83$184−31%$140 – $257
Arizona AZ29$178−34%$65 – $787
North Carolina NC45$171−36%$123 – $200
Montana MT10$168−37%$95 – $263
Mississippi MS33$158−41%$102 – $221
Louisiana LA34$140−48%$93 – $247
Tennessee TN47$113−58%$54 – $250
Arkansas AR10$81−70%$69 – $186
Oklahoma OK22$52−81%$52 – $272
Alabama AL9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $268.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,545$269$147 – $508
Children’s42$399$219 – $699
Critical access289$257$153 – $397
Ownership
For-profit224$355$165 – $789
Government238$232$144 – $397
Non-profit1,414$268$147 – $464
System affiliation
Part of a system1,662$269$150 – $492
Independent221$260$140 – $442

Cash price vs list price

Median list price (chargemaster)$461
Median cash price$268
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,520 hospitals filed a usable inpatient cash price for this code. The median is $270 and the average of the middle 60% is $285; most fall between $146 and $500.

Cash price percentiles, inpatient, across 1,520 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$96$166$270$439$743

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($96 vs $743).

Of the 1,583 hospitals that filed this code inpatient, 1,520 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 47 a list price only.

How complete is this

1,883 of the 3,956 hospitals with a price file in our corpus (48%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,970 hospitals that filed this code at all gave us
Usable cash price — counted1,883
Cash price carrying a plausibility flag — shown on the compare tool, excluded here28
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded57
Hospitals that filed this code1,970

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other respiratory therapy family.

Hospitals file this code under descriptions such as Pentamidine Aersl Inhalation Pneumocystis/Proph.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Inhaled pentamidine treatment for pneumonia prevention (CPT 94642) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-94642-inhaled-pentamidine-treatment-for-pneumonia-prevention