Average Medicaid Pulmonary Function Test Payments in Anaheim, CA: $25.99
Avg. Paid
$25.99
Range
$0.00 – $93.01
Total Claims
22,704
Providers
21
Typical Payment Range
Typical Medicaid Pulmonary Function Test payments fall between $7.79 and $27.18 per claim (median: $14.27). The top 10% of payments exceed $63.77.
Based on per-provider averages across all Medicaid claims in this category.
Pulmonary function tests (PFTs) measure how well the lungs work. Used to diagnose and monitor lung diseases like asthma, COPD, and pulmonary fibrosis.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Pulmonary Function Test in Anaheim, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anandray B Patel
3460 E La Palma Ave |
$31.76 | 12 | 12 |
|
Harmohinder Singh Gogia
1211 W La Palma Ave |
$47.27 | 12 | 12 |
|
First Choice Physician Partners
500 S Anaheim Hills Rd |
$27.71 | 13 | 13 |
|
Ralph E Conner
3350 W Ball Rd |
$20.72 | 13 | 12 |
|
Primary And Multi Specialty Clinics Of Anaheim Inc
710 N Euclid St Ste 101 |
$16.87 | 14 | 14 |
|
Altamed Health Services Corp
1820 W Lincoln Ave |
$0.00 | 19 | 15 |
|
Joseph C Perera
1250 S Magnolia Ave |
$17.58 | 32 | 30 |
|
Hung-I Liao
1211 W La Palma Ave Ste 709 |
$39.70 | 36 | 36 |
|
Herman B Bell
1125 N Magnolia Ave |
$1.45 | 51 | 44 |
|
Southern California Doctors Prof Medical Corp
710 S Brookhurst St Ste A |
$12.12 | 156 | 153 |
|
Blanca Hampton
1110 W La Palma Ave |
$12.30 | 174 | 169 |
|
Jason Youn-Eck Khamly
1314 S Euclid St Ste 103 |
$22.83 | 191 | 188 |
|
Providence Medical Foundation
200 W Center Street Promenade Ste 100 |
$12.95 | 280 | 263 |
|
Anaheim Global Medical Center, Inc
1025 S Anaheim Blvd |
$12.30 | 545 | 482 |
|
Anaheim Urgent Care, Inc.
831 S State College Blvd |
$7.95 | 614 | 605 |
|
Oc Urgentcare Medical Group Incorporated
631 S Brookhurst St Ste 101 |
$9.61 | 1,038 | 985 |
|
Kaiser Foundation Hospitals
3440 E. La Palma Ave |
$93.01 | 1,666 | 1,560 |
|
Southern California Permanente Medical Group
441 N Lakeview Ave |
$0.02 | 2,567 | 2,229 |
|
Prime Healthcare Anaheim, Llc
3033 W Orange Ave |
$11.45 | 3,816 | 2,788 |
|
Ahmc Anaheim Regional Medical
1111 W La Palma Ave |
$12.41 | 5,416 | 4,385 |
|
Chest And Critical Care Consultants A Medical Group
1211 W La Palma Ave Ste 404 |
$47.48 | 6,039 | 5,897 |
What to Expect: Pulmonary Function Test
Pulmonary function tests take 30-90 minutes. You'll breathe into a mouthpiece connected to a machine (spirometer) while following specific instructions — breathing in deeply, blowing out forcefully, etc. The tests measure lung capacity, airflow, and how well oxygen crosses into the blood. You should avoid smoking, heavy meals, and bronchodilators before testing as instructed.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 94640 | Airway inhalation treatment | $30.37 | 8,609,434 | 12,427 |
| 94010 | Spirometry | $25.10 | 3,948,184 | 7,404 |
| 94060 | Spirometry pre & post bronch | $45.36 | 2,638,065 | 6,502 |
| 94729 | Diffusing capacity (DLCO) | $21.36 | 2,183,703 | 5,880 |
| 94726 | Plethysmography lung volumes | $26.97 | 1,341,614 | 4,152 |
| 94375 | Respiratory flow volume loop | $31.08 | 795,469 | 1,665 |
| 94727 | Gas dilution lung volume | $21.85 | 595,656 | 1,579 |
| 94200 | Max breathing capacity test | $12.33 | 463,986 | 451 |
| 94150 | Vital capacity test | $9.49 | 274,717 | 389 |
| 94660 | CPAP initiation/management | $42.51 | 104,298 | 247 |
| 94728 | Airway resistance oscillometry | $26.43 | 61,324 | 92 |
| 94621 | Pulmonary stress test complex | $95.35 | 35,949 | 133 |
| 94070 | Bronchospasm provocation eval | $88.04 | 17,656 | 86 |
| 94620 | Pulmonary stress test simple | $7.99 | 35 | 1 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Pulmonary Function Test cost in Anaheim, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pulmonary Function Test in Anaheim, CA is $25.99 per claim, based on 22,704 claims from 21 providers. Typical payments fall between $7.79 and $27.18. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Pulmonary Function Test in Anaheim, CA?
There are 21 Medicaid providers offering Pulmonary Function Test related services in Anaheim, CA according to public payment data.
What is the price range for Pulmonary Function Test in Anaheim, CA?
Medicaid reimbursement for Pulmonary Function Test in Anaheim, CA ranges from $0.00 to $93.01 per claim, with an average of $25.99. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pulmonary Function Test in Other Cities
Brooklyn, NY
Avg $23.88
467,812 claims · 307 providers
Fresno, CA
Avg $9.79
368,205 claims · 95 providers
New York, NY
Avg $26.86
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Milwaukee, WI
Avg $31.74
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Bronx, NY
Avg $23.40
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Phoenix, AZ
Avg $43.01
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Los Angeles, CA
Avg $28.44
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Detroit, MI
Avg $11.67
181,938 claims · 75 providers
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